Leigh-Anne Husted, LCSW

Individual provider Active NPI Clinical Social Worker · Maynard, MA

NPI 1154946150 · NPPES record last updated Jun 15, 2020

Key facts

NPI
1154946150
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW17259 (FL)
Practice address
141 Parker St Ste 306
Maynard, MA 01754-2180
Phone
(215) 641-2525
Fax
(215) 641-2313
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW17259FLMDClinical Social Worker
8877168-3501UTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8877168-3501 UT
Clinical Social Worker 1041C0700X SW17259 FL Yes

Addresses

Primary practice location

141 Parker St Ste 306
Maynard, MA 01754-2180

Mailing address

141 Parker St Ste 306
Maynard, MA 01754-2180

Other providers in Maynard, MA

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

Sources for this page

Verify at the official NPI Registry.