Individual provider Active NPI

Colleen Veronica Leddie

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1932991783
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW228911 Issued in MA
Practice address
3368 Washington St
Boston, MA 02130-5519
Phone
(307) 203-7923
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW228911 MA Primary
Social Worker 104100000X LCSW228911 MA

Addresses

Primary practice location

3368 Washington St
Boston, MA 02130-5519

Mailing address

1200 Washington St Apt 120
Boston, MA 02118-2132
Phone (307) 203-7923

Other practice location 1

10 Malcolm X Blvd Fl 2
Roxbury, MA 02119-1775
Phone (307) 203-7923

Other names 1

  • Miss Colleen Veronica Leddie Former name

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
LCSW228911MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Somali Development Center CurrentSince Aug 6, 2023 Accepting new patients

Locations

10 Malcolm X Blvd
Fl 2
Roxbury, MA 02119
Phone (307) 203-7923

Organizations & group practices 1

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1932991783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WASHINGTON ST APT 120",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182132",
            "telephone_number": "307-203-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021305519",
            "telephone_number": "307-203-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Malcolm X Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "MA",
            "postal_code": "021191775",
            "country_code": "US",
            "telephone_number": "307-203-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDDIE",
        "first_name": "COLLEEN",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW228911",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LCSW228911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "LEDDIE",
            "middle_name": "VERONICA",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.