Leah Pedevillano

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124074 Issued in MA

Practice address

14 Vernon St
Newburyport, MA 01950-3920

Phone

(203) 305-7839

NPI assigned

Jul 23, 2017

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tmin Services IncGroup PAC ID 0840657862, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tmin Services, Inc.

  • Community/Behavioral Health Agency
  • Burlington, MA
  • NPI 1225734262
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1790208601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ADAM WALKER DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074509",
            "telephone_number": "203-305-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VERNON ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503920",
            "telephone_number": "203-305-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDEVILLANO",
        "first_name": "LEAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niti Hitesh Patel, PA-C
• Patricia Dell-Ross, Inc.
• Susan L Patten, LIC. AC.
• Cooper John Paul, FNP
• Audrey Peck, DC
• Jennifer Peffer
• Eileen Maureen Pekarski, MSW, LCSW
• Anne Kay Pelavin, LICSW
• Natalie Perez, PA-C
• Michelle Perna, MSW, LCSW

• Clinical Social Worker in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.