Individual provider Active NPI

Leila M Tighe, LICSW

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1699864199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113777 Issued in MA
Practice address
225 Water St
Suite B-236
Plymouth, MA 02360-4060
Phone
(508) 747-6302
Fax
(508) 747-6304
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 113777 MA Primary

Addresses

Primary practice location

225 Water St
Suite B-236
Plymouth, MA 02360-4060

Mailing address

225 Water St
Suite B-236
Plymouth, MA 02360-4060
Phone (508) 747-6302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000653 MA Practitioner - Clinical Social Worker 7911005632 Practice locations: Boston, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

185 Devonshire St
Suite 902
Boston, MA 02110-1413
Phone (781) 413-1164

38 Stockbridge St
Cohasset, MA 02025-1821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699864199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WATER ST",
            "address_2": "SUITE B-236",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604060",
            "telephone_number": "508-747-6302",
            "fax_number": "508-747-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WATER ST",
            "address_2": "SUITE B-236",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604060",
            "telephone_number": "508-747-6302",
            "fax_number": "508-747-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGHE",
        "first_name": "LEILA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.