Active NPI
Marie France Leclerc, MSW
- Clinical Social Worker
- North Fort Myers, FL
National Provider Identifier
1780170258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW7259
- Practice address
- 390 Pondella Rd Ste 9
North Fort Myers, FL 33903-4340 - Phone
- (239) 652-0260
- Fax
- (239) 652-0146
- NPI assigned
- Jul 7, 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 | ISW7259 | FL | Primary |
Addresses
Primary practice location
390 Pondella Rd Ste 9
North Fort Myers, FL 33903-4340
Mailing address
924 Marilyn Ave S
Lehigh Acres, FL 33974-0600
Phone (239) 297-3264
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 |
|---|---|---|---|
| ISW7259 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultima Rehab-FL LLC | Past | Accepting new patients | |
| Direct Access Counseling & Supportive Services, LLC | Clinical | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, FL
- NPI 1679011449
Clinical
-
- Geriatric Physical Therapist
- North Fort Myers, FL
- NPI 1053970194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530921600000",
"number": "1780170258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 MARILYN AVE S",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339740600",
"telephone_number": "239-297-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 PONDELLA RD STE 9",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339034340",
"telephone_number": "239-652-0260",
"fax_number": "239-652-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECLERC",
"first_name": "MARIE",
"middle_name": "FRANCE",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-07",
"last_updated": "2018-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW7259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.