Organization Active NPI

Jill R Leary Licsw LLC

  • Clinical Social Worker
  • Chelmsford, MA
National Provider Identifier
1619778180
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JILL R LEARY LICSW LLC
Doing business as
Jill R Leary LICSW LLC
Practice address
104 Turnpike Rd Apt 4402
Chelmsford, MA 01824-3586
Phone
(617) 823-5080
NPI assigned
Mar 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Jill Rae Leary, LICSWNPI 1184833295
Title
Owner/Clinical Therapist
Phone
(617) 823-5080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

104 Turnpike Rd Apt 4402
Chelmsford, MA 01824-3586

Mailing address

104 Turnpike Rd Apt 4402
Chelmsford, MA 01824-3586
Phone (617) 823-5080

Other names 1

  • Jill R Leary LICSW LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1619778180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TURNPIKE RD APT 4402",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243586",
            "telephone_number": "617-823-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TURNPIKE RD APT 4402",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243586",
            "telephone_number": "617-823-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL R LEARY LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "617-823-5080",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill R Leary LICSW LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.