Leigh Ann Coderre, L.I.C.S.W.
Individual provider Active NPI Clinical Social Worker · Swansea, MA
NPI 1821200635 · NPPES record last updated Sep 28, 2016
Key facts
- NPI
- 1821200635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 213582 (MA)
- Practice address
- 25 Market St
Ste 14
Swansea, MA 02777-3998 - Phone
- (508) 984-5566
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10 Main St
Lakeville, MA 02347-1674
Phone (774) 213-1460
8 Allen LN
Somerset, MA 02726-5514
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110309000770 | MA | Practitioner - Clinical Social Worker | 2961684188 | Practice locations: Lakeville, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213582 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition for Life, Inc. | Past |
Accepting new patients | |
| Child & Family Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 213582 | MA | Yes |
Addresses
Primary practice location
25 Market St
Ste 14
Swansea, MA 02777-3998
Mailing address
8 Allen LN
Somerset, MA 02726-5514
Phone (508) 667-2337
Other providers in Swansea, MA
- Anita Chamoun
- Cheryl Ann Chernecky
- Claire V Wiseman LLC
- Kevin Clark
- Christopher Michael Cocozella
- Kristen Williams Coffey
- Sarah Cohen
- Colbert Counseling LLC
- Evan Colbert
- Kayla Cole
All providers in Swansea, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.