Adesholla Leann Gionet, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Orange, MA
NPI 1093065690 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1093065690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 120680 (MA)
- Practice address
- 131 W Main St
Orange, MA 01364-1150 - Phone
- (413) 372-9844
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220675 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 220675 | MA | |
| Clinical Social Worker | 1041C0700X | 120680 | MA | Yes |
Addresses
Primary practice location
131 W Main St
Orange, MA 01364-1150
Mailing address
4 Muskett Drive
Templeton, MA 01468-1569
Phone (978) 939-8383
Other practice location 1
418 Patriots Road
Templeton, MA 01468-1569
Phone (978) 310-1995
Other providers in Orange, MA
- Rebecca Foskett
- Four Wings Counseling LLC
- Alina Fox
- Angela Lee Gilmore
- Morgan Russell Gilmore
- Pamela Lottie Gobeille
- Joseph G Gomez Jr.
- William M Grant
- Eliza Graton
- Ahmed Hamdan
All providers in Orange, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.