Leigh Dexter Tuttle, PH.D.
Individual provider Active NPI Clinical Social Worker · Bolton, MA
NPI 1992811624 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992811624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1015358 (MA)
- Practice address
- 563 Main St
Bolton, MA 01740-1300 - Phone
- (978) 779-0211
- Fax
- (978) 779-0211
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
563 Main St
Bolton, MA 01740-1300
Phone (978) 779-0211
PO Box
Suite 576
Bolton, MA 01740-0576
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 |
|---|---|---|---|---|
| I20040519000747 | MA | Practitioner - Clinical Social Worker | 8224029202 | Practice locations: Bolton, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1015358 | MA | Yes |
Addresses
Primary practice location
563 Main St
Bolton, MA 01740-1300
Mailing address
563 Main St
Bolton, MA 01740-1300
Phone (978) 779-0211
Other providers in Bolton, MA
- Wendy Robin Sullivan
- Samantha N Sundermeyer
- The Healing Tree, LLC
- TMJ & Sleep Therapy Centre of New England
- Town of Bolton
- Richard R. Waller Jr.
- Dana Fene Walton
- Ruth A Wilson
All providers in Bolton, 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 Jul 8, 2007. 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.