Individual provider Active NPI

Marie France Leclerc, MSW

  • Clinical Social Worker
  • North Fort Myers, FL
National Provider Identifier
1780170258
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW7259 Issued in FL
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

Updated by the provider on Jul 7, 2018

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 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

LicenseStateTypeSpecialty
ISW7259FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients
Direct Access Counseling & Supportive Services, LLC Clinical PastSince Sep 12, 2017 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.

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.

Verify at the official NPI Registry.