Individual provider Active NPI

Sarah Ann Leach, LICSW, LMT

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1063933737
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119449 Issued in MA
Practice address
1002 Martin Luther King Jr Way Marconi Chiropractic & W
Tacoma, WA 98405
Phone
(253) 750-3381
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X ISW04024 RI
Massage Therapist 225700000X MA61392155 WA
Clinical Social Worker 1041C0700X 119449 MA Primary

Addresses

Primary practice location

1002 Martin Luther King Jr Way Marconi Chiropractic & W
Tacoma, WA 98405

Mailing address

171 Chestnut St Ste 200
Providence, RI 02903-4604

Other practice location 1

171 Chestnut St Ste 200
Providence, RI 02903-4604
Phone (401) 484-1605

Other practice location 2

66 Canal St
Boston, MA 02114-2002
Phone (617) 371-3024

Other identifiers 1

IdentifierTypeStateIssuer
0OtherN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW04024RIMDMental Health Counselor
119449MAMDClinical Social Worker
MA61392155WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Washington, PC Mental Health Current Accepting new patients
Wild Hope, LLC Mental Health Current Accepting new patients

Locations

171 Chestnut St
Ste 200
Providence, RI 02903
Phone (401) 484-1605

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1063933737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CHESTNUT ST STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MARTIN LUTHER KING JR WAY MARCONI CHIROPRACTIC & W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-750-3381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Chestnut St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034604",
            "country_code": "US",
            "telephone_number": "401-484-1605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Canal St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142002",
            "country_code": "US",
            "telephone_number": "617-371-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "LICSW, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW04024",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61392155",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.