Active NPI
Mary Edith Lebeau
- Clinical Social Worker
- Florence, MA
National Provider Identifier
1720558257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10563
- Practice address
- 35 Strawberry HL
Florence, MA 01062-1338 - Phone
- (203) 907-5860
- NPI assigned
- Nov 27, 2018
- Last updated
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10563 | MA | Primary |
Addresses
Primary practice location
35 Strawberry HL
Florence, MA 01062-1338
Mailing address
35 Strawberry HL
Florence, MA 01062-1338
Phone (203) 907-5860
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10563 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1720558257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 STRAWBERRY HL",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010621338",
"telephone_number": "203-907-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 STRAWBERRY HL",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010621338",
"telephone_number": "203-907-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBEAU",
"first_name": "MARY",
"middle_name": "EDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "10563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.