Individual provider Active NPI

Leah Cohen Bemiller, LCSW

  • Social Worker
  • Bristol, CT
National Provider Identifier
1326416975
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW10256 Issued in CT
Practice address
225 N Main St Ste 106
Bristol, CT 06010-4993
Phone
(860) 793-3500
NPI assigned
Sep 11, 2015
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW.002306 CT
Social Worker 104100000X LCSW10256 CT Primary

Addresses

Primary practice location

225 N Main St Ste 106
Bristol, CT 06010-4993

Mailing address

225 N Main St Ste 106
Bristol, CT 06010-4993

Other practice location 1

846 Farmington Avenue
Suite 4
West Hartford, CT 06119
Phone (617) 379-0496 ext. 9402

Other identifiers 1

IdentifierTypeStateIssuer
004040564MedicaidCT

Other names 1

  • Miss Leah Marie Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20181212002999 CT Practitioner - Clinical Social Worker 9638414048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW10256CTMDSocial Worker
MSW.002306CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Services Inc CurrentSince Oct 14, 2018 Accepting new patients
Thrive Counseling LLC CurrentSince Sep 3, 2020 Accepting new patients

Locations

846 Farmington Ave
Ste 4
West Hartford, CT 06119
Phone (860) 530-5326

Interoperability endpoints

  • Direct secure messaging: leah.bemiller.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1326416975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST STE 106",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST STE 106",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104993",
            "telephone_number": "860-793-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "846 Farmington Avenue",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "06119",
            "country_code": "US",
            "telephone_number": "617-379-0496 x9402",
            "fax_number": "860-779-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEMILLER",
        "first_name": "LEAH",
        "middle_name": "COHEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "MSW.002306",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "LCSW10256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040564",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "COHEN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.