Active NPI
Vanessa Amado Leveille, LICSW
- Clinical Social Worker
- Roxbury, MA
National Provider Identifier
1124374608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119531
- Practice address
- 100 Warren St Ste 1a
Roxbury, MA 02119-3259 - Phone
- (617) 286-6861
- NPI assigned
- Aug 2, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 119531 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 218658 | MA |
Addresses
Primary practice location
100 Warren St Ste 1a
Roxbury, MA 02119-3259
Mailing address
100 Warren St Ste 1a
Roxbury, MA 02119-3259
Phone (617) 286-6861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119531 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistically You, Inc. | Clinical | Current | Accepting new patients |
Locations
100 Warren St
Ste 1A
Roxbury, MA 02119
Phone (617) 286-6861
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Boston, MA
- NPI 1780159871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1124374608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WARREN ST STE 1A",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021193259",
"telephone_number": "617-286-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WARREN ST STE 1A",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021193259",
"telephone_number": "617-286-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVEILLE",
"first_name": "VANESSA",
"middle_name": "AMADO",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "119531",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "218658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.