Individual provider Active NPI

Lawrence Leeman, LCSW

  • Clinical Social Worker
  • Gray, ME
National Provider Identifier
1689607756
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC8421 Issued in ME
Practice address
67 Shaker Rd
Suite 7
Gray, ME 04039-9640
Phone
(207) 657-7700
Fax
(207) 657-7770
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

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.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC8421MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Aaron Counseling Center PastSince Dec 29, 2013 Accepting new patients
Christopher Aaron Counseling Center Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC8421 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

67 Shaker Rd
Suite 7
Gray, ME 04039-9640

Mailing address

67 Shaker Rd
Suite 7
Gray, ME 04039-9640
Phone (207) 657-7700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689607756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SHAKER RD",
            "address_2": "SUITE 7",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399640",
            "telephone_number": "207-657-7700",
            "fax_number": "207-657-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SHAKER RD",
            "address_2": "SUITE 7",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399640",
            "telephone_number": "207-657-7700",
            "fax_number": "207-657-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEMAN",
        "first_name": "LAWRENCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.