Individual provider Active NPI

Leigh E. Bryant, MSW, LICSW

  • Clinical Social Worker
  • Dracut, MA
National Provider Identifier
1376624122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1016726 Issued in MA
Practice address
14 Loon Hill Rd
Dracut, MA 01826-4015
Phone
(978) 934-9444
Fax
(978) 441-0800
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1016726 MA Primary
Clinical Social Worker 1041C0700X 956 NH

Addresses

Primary practice location

14 Loon Hill Rd
Dracut, MA 01826-4015

Mailing address

14 Loon Hill Rd
Dracut, MA 01826-4015
Phone (978) 934-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040408000695 MA Practitioner - Clinical Social Worker 8224021712 Reassigns benefits to 1 organization
Practice locations: Dracut, MA
I20040603000966 NH Practitioner - Clinical Social Worker 8224021712 Practice locations: Bedford, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Loon Hill Rd
Suite 6
Dracut, MA 01826-4015

9 Baldwin Lane
bedford, NH 03110-4227

9 Baldwin LN
Bedford, NH 03110-4227
Phone (603) 472-5279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of Ma & NH, LLC Clinical CurrentSince Jan 1, 1994 Accepting new patients
Granite Counseling and Psychological Services, LLC Current Accepting new patients
Brian Varga DCPC Past Accepting new patients

Locations

14 Loon Hill Rd
Ste 6
Dracut, MA 01826
Phone 97893494441

184 Pleasant Valley St
Bldg 1
Methuen, MA 01844

173 S River Rd
Ste 3
Bedford, NH 03110
Phone (603) 472-5279

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376624122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LOON HILL RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264015",
            "telephone_number": "978-934-9444",
            "fax_number": "978-441-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LOON HILL RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264015",
            "telephone_number": "978-934-9444",
            "fax_number": "978-441-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LEIGH",
        "middle_name": "E.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1016726",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

Verify at the official NPI Registry.