Individual provider Active NPI

Divya Kumar, LCSW

  • Clinical Social Worker
  • Roslindale, MA
National Provider Identifier
1669020962
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000224972 Issued in MA
Practice address
4238 Washington St # 316
Roslindale, MA 02131-2558
Phone
(857) 273-2123
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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 000224972 MA Primary

Addresses

Primary practice location

4238 Washington St # 316
Roslindale, MA 02131-2558

Mailing address

48 Seaverns Ave
Jamaica Plain, MA 02130-2867
Phone (617) 610-5272

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherDON'T HAVE THESE NUMBERS

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address divya@theleggettgrouptherapy.com
Other URL www.theleggettgrouptherapy.com Other
CONNECT URL www.theleggettgrouptherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000224972MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Leggett Group LLC CurrentSince Sep 1, 2019 Accepting new patients
Divya Kumar, Licsw, LLC Clinical CurrentSince Mar 12, 2023 Accepting new patients

Locations

4238 Washington St
Ste 316
Roslindale, MA 02131
Phone (857) 273-2123

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1669020962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SEAVERNS AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302867",
            "telephone_number": "617-610-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 WASHINGTON ST # 316",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312558",
            "telephone_number": "857-273-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "DIVYA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000224972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DON'T HAVE THESE NUMBERS",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "divya@theleggettgrouptherapy.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "4238 Washington St # 316",
            "city": "Roslindale",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021312558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.theleggettgrouptherapy.com",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Website",
            "address_1": "4238 Washington St # 316",
            "city": "Roslindale",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021312558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.theleggettgrouptherapy.com",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "address_1": "4238 Washington St # 316",
            "city": "Roslindale",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021312558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.