Individual provider Active NPI

Leanne Joeckel, LICSW

  • Clinical Social Worker
  • Northborough, MA
National Provider Identifier
1720045370
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111127 Issued in MA
Practice address
82 W Main St
Ste. 5C
Northborough, MA 01532-1879
Phone
(508) 614-9049
Fax
(800) 395-9156
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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 111127 MA Primary

Addresses

Primary practice location

82 W Main St
Ste. 5C
Northborough, MA 01532-1879

Mailing address

82 W Main St
Ste. 5C
Northborough, MA 01532-1879
Phone (508) 614-9049

Other names 1

  • Leanne Thurber Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1720045370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 W MAIN ST",
            "address_2": "STE. 5C",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321879",
            "telephone_number": "508-614-9049",
            "fax_number": "800-395-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 W MAIN ST",
            "address_2": "STE. 5C",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321879",
            "telephone_number": "508-614-9049",
            "fax_number": "800-395-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOECKEL",
        "first_name": "LEANNE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNE",
            "last_name": "THURBER",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.