Individual provider Active NPI

Leah Rose Kravette, LICSW

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1538898341
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125372 Issued in MA
Practice address
55 Highland Ave
Salem, MA 01970-2185
Phone
(617) 855-9434
NPI assigned
Jun 7, 2022
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 225431 MA
Clinical Social Worker 1041C0700X 125372 MA Primary

Addresses

Primary practice location

55 Highland Ave
Salem, MA 01970-2185

Mailing address

46 N Milton St
Malden, MA 02148-3238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225431MAMDSocial Worker
125372MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince Jan 13, 2025 Accepting new patients
North Shore Medical Center, Inc. CurrentSince Jan 13, 2025 Accepting new patients

Locations

55 Highland Ave
Salem, MA 01970
Phone (978) 741-2500

55 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 745-6601

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1538898341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N MILTON ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702185",
            "telephone_number": "617-855-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVETTE",
        "first_name": "LEAH",
        "middle_name": "ROSE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "225431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.