NPIMap

Organization Active NPI

Nichole Leary, Licsw, LLC

  • Mental Health Counselor
  • North Attleboro, MA
National Provider Identifier
1225629322
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NICHOLE LEARY, LICSW, LLC
Practice address
500 E Washington St Unit 73
North Attleboro, MA 02760-6324
Phone
(508) 409-9821
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Nichole S Leary, LICSWNPI 1720436538
Title
Owner
Phone
(508) 958-2358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

500 E Washington St Unit 73
North Attleboro, MA 02760-6324

Mailing address

66 Blackberry Rd
North Attleboro, MA 02760-3504
Phone (508) 409-9821

National Provider Directory

National Provider Directory

Locations

500 E Washington St
Unit 73
North Attleboro, MA 02760
Phone (508) 409-9821

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1225629322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BLACKBERRY RD",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027603504",
            "telephone_number": "508-409-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST UNIT 73",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606324",
            "telephone_number": "508-409-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLE LEARY, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-958-2358",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.