Eda Leach

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

638107811 Issued in MI

Legal business name

EDA LEACH

Doing business as

Eda Leach

Practice address

1746 Den Hertog St SW
Wyoming, MI 49519-3337

Phone

(616) 531-1142

Fax

(616) 531-1142

NPI assigned

Apr 29, 2010

Last updated

Apr 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Eda Monica Leach, LMSWNPI 1942513478

Title

Social Worker

Phone

(616) 531-1142

Specialties & licenses 3

Addresses

Other names 1

• Eda Leach Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eda Monica Leach, SOCIAL WORKER

  • Clinical Social Worker
  • Wyoming, MI
  • NPI 1942513478
  NPD (past) Authorized official

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1619294634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 DEN HERTOG ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495193337",
            "telephone_number": "616-531-1142",
            "fax_number": "616-531-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 DEN HERTOG ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495193337",
            "telephone_number": "616-531-1142",
            "fax_number": "616-531-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDA LEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "EDA",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "616-531-1142",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "638107811",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "638107811",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "638107811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eda Leach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silvia Cristina Dyson, LMSW, LCSW
• Ross Allen Eardley, PHARMD, BCPS
• Ecenbarger Eye Care, LLC
• Scott Richard Ecenbarger, O.D.
• Staci Dawn Ecenbarger, O.D.
• Allison Leigh Edberg, D.O.
• Eden Homecare LLC
• Taylor Edgecomb
• Sarah L Edgerton, DO
• Megan Marie Edison, M.D.

• Exclusive Provider Organization in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Exclusive Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.