Active NPI
Eda Monica Leach, SOCIAL WORKER
- Clinical Social Worker
- Wyoming, MI
National Provider Identifier
1942513478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801078113
- Practice address
- 1746 Den Hertog St SW
Wyoming, MI 49519-3337 - Phone
- (616) 531-1142
- Fax
- (616) 328-2883
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801078113 | MI | Primary |
Addresses
Primary practice location
1746 Den Hertog St SW
Wyoming, MI 49519-3337
Mailing address
1746 Den Hertog St SW
Wyoming, MI 49519-3337
Phone (616) 531-1142
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eda Leach | Past | Accepting new patients |
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.
-
- Exclusive Provider Organization
- Wyoming, MI
- NPI 1619294634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1942513478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 DEN HERTOG ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495193337",
"telephone_number": "616-531-1142",
"fax_number": "616-328-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1746 DEN HERTOG ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495193337",
"telephone_number": "616-531-1142",
"fax_number": "616-328-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "EDA",
"middle_name": "MONICA",
"name_prefix": "Ms.",
"credential": "SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801078113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.