Jane H. Leavy, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104176 Issued in MA

Practice address

6 Floral St
Newton Highlands, MA 02461-1245

Phone

(617) 964-6061

Fax

(617) 964-1317

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 7, 2017 through Dec 7, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104979988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FLORAL ST",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611245",
            "telephone_number": "617-964-6061",
            "fax_number": "617-964-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FLORAL ST",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611245",
            "telephone_number": "617-964-6061",
            "fax_number": "617-964-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVY",
        "first_name": "JANE",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "PO2058",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana S. Kierein, LICSW
• David S Kim, D.M.D.
• Grace Y Kim, DMD
• Sonya R Kurzweil, PH.D.
• Michelle Anh Tram Le, RPH
• Lynne M Lieberman Licsw
• Julie Gardner Mandel, PHD
• Jeffrey A Mann, OPTICIAN
• Donald W. Manthei, PH.,D.
• Mindfulness Growth

• Clinical Social Worker in Newton Highlands, MA
• Providers in Newton Highlands, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.