Matthew Ryan Leach, SOCIAL WORKER

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC22723 Issued in ME

Practice address

474 Main St
Springvale, ME 04083-1409

Phone

(207) 324-1500

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Center of Maine

  • Clinical Social Worker
  • Dover Foxcroft, ME
  • NPI 1114674249
  NPD (past)

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1265203251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ROCKY RIDGE RD",
            "city": "ALFRED",
            "state": "ME",
            "postal_code": "040023467",
            "telephone_number": "207-749-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 MAIN ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831409",
            "telephone_number": "207-324-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC22723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn G. Kimball, LCSW
• Richard Scribner Kinsman, LCSW
• Jay Morgan Knudsen, DDS
• Thomas J. Lantos, MD
• Lillian Mary Larose, LCSW
• Stephen R. Leary, LADC
• Susan G Lebel, BPHARM
• Rey Angel Lebron
• Melissa L Lebrun, LADC
• Brenda Lee

• Clinical Social Worker in Springvale, ME
• Providers in Springvale, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.