Active NPI
Leslie Sands, LICSW, CHHC
- Clinical Social Worker
- Salem, MA
National Provider Identifier
1104124874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107061
- Practice address
- 2 East India Square
A Sacred Place
Salem, MA 01970-3700 - Phone
- (978) 744-1600
- NPI assigned
- Mar 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107061 | MA | Primary |
Addresses
Primary practice location
2 East India Square
A Sacred Place
Salem, MA 01970-3700
Mailing address
2 East India Square
Museum Place Mall, a Sacred Place
Salem, MA 01970
Phone (978) 744-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190813001036 | MA | Practitioner - Clinical Social Worker | 6800884867 | Practice locations: Newburyport, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
143 State St
Newburyport, MA 01950-6621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1104124874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EAST INDIA SQUARE",
"address_2": "MUSEUM PLACE MALL, A SACRED PLACE",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-744-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EAST INDIA SQUARE",
"address_2": "A SACRED PLACE",
"city": "SALEM",
"state": "MA",
"postal_code": "019703700",
"telephone_number": "978-744-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "LICSW, CHHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "107061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.