Individual provider Active NPI

Leah Sherman-Collins, LICSW

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1235877127
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1120875 Issued in MA
Practice address
7 Kent St Ste 4
Brookline, MA 02445-7975
Phone
(857) 201-2233
NPI assigned
May 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW1120875 MA Primary

Addresses

Primary practice location

7 Kent St Ste 4
Brookline, MA 02445-7975

Mailing address

46 Eastland Rd
Jamaica Plain, MA 02130-4625
Phone (857) 201-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219001347 MA Practitioner - Clinical Social Worker 3375070097 Practice locations: Brookline, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Kent St
Suite 4
Brookline, MA 02445-7975
Phone (857) 201-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1120875MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1235877127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EASTLAND RD",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304625",
            "telephone_number": "857-201-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KENT ST STE 4",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457975",
            "telephone_number": "857-201-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN-COLLINS",
        "first_name": "LEAH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-22",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1120875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.