Nicole S Leblanc, LICSW

Individual provider Active NPI Clinical Social Worker · Shirley, MA

NPI 1104894476 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1104894476
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
110006 (MA)
Practice address
162B Ayer Rd
Shirley, MA 01464-2518
Phone
(978) 425-6236
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
Greater Lowell Psychiatric Associates, LLC Clinical Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110006 MA Yes

Addresses

Primary practice location

162B Ayer Rd
Shirley, MA 01464-2518

Mailing address

162B Ayer Rd
Shirley, MA 01464-2518
Phone (978) 425-6236

Other providers in Shirley, MA

All providers in Shirley, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.