Individual provider Active NPI

Leanne Miller

  • Clinical Social Worker
  • Scituate, MA
National Provider Identifier
1578110169
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
223026 Issued in MA
Practice address
6 Ann Vinal Rd
Scituate, MA 02066-2017
Phone
(262) 215-0189
NPI assigned
Aug 20, 2019
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 223026 MA Primary

Addresses

Primary practice location

6 Ann Vinal Rd
Scituate, MA 02066-2017

Mailing address

759 Chief Justice Cushing Hwy Ste 303
Cohasset, MA 02025-2115
Phone (262) 215-0189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 17, 2023 through Mar 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
223026MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leanne Miller Clinical CurrentSince Sep 1, 2021 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

759 Chief Justice Cushing Hwy
Cohasset, MA 02025
Phone (262) 215-0189

Organizations & group practices 1

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1578110169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CHIEF JUSTICE CUSHING HWY STE 303",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020252115",
            "telephone_number": "262-215-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ANN VINAL RD",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020662017",
            "telephone_number": "262-215-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "223026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

Verify at the official NPI Registry.