Active NPI
Matthew David Leblanc, LMSW
- Social Worker
- Middletown, CT
National Provider Identifier
1780419010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9604
- Practice address
- 213 Court St Ste 901
Middletown, CT 06457-3346 - Phone
- (203) 491-5249
- NPI assigned
- Sep 5, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 9604 | CT | Primary |
Addresses
Primary practice location
213 Court St Ste 901
Middletown, CT 06457-3346
Mailing address
223 Middlebury Rd
Watertown, CT 06795-2423
Phone (203) 510-2034
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1780419010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 MIDDLEBURY RD",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952423",
"telephone_number": "203-510-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 COURT ST STE 901",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573346",
"telephone_number": "203-491-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "9604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.