Active NPIIndividual providerSole proprietor

Shante Leathers-Idowu, LICSW

Social Worker, Clinical in Stoughton, Massachusetts

NPI Number1003773706
Practice location
92 Walnut St, Stoughton, MA 02072-2639
Fax
—
Last updated
January 6, 2026

Shante Leathers-Idowu is a Social Worker, Clinical based in Stoughton, MA. Shante Leathers-Idowu practices in Stoughton, MA and has the professional credentials of LICSW. The NPI Number for Shante Leathers-Idowu is 1003773706 and holds a License No. licsw126767 (MA). The current practice location address for Shante Leathers-Idowu is 92 Walnut St, Stoughton, MA 02072-2639 and can be reached out via phone at 857-236-5413.

Provider Profile Details

NPI Number
1003773706
Provider Name
Shante Leathers-Idowu
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
92 Walnut St, Stoughton, MA 02072-2639
Phone Number
857-236-5413
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 6, 2026
Last Update Date
January 6, 2026
Certification Date
January 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Walnut St
Stoughton, MA 02072-2639
Zip
02072-2639
Phone Number
857-236-5413
Stoughton, MA 02072Get directions →

Provider Business Mailing Address Details

Address
92 Walnut St
Stoughton, MA 02072-2639
City
Stoughton
State
MA
Zip
02072-2639
Phone Number
857-236-5413

License Information

License Number
licsw126767
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shante Leathers-Idowu, LICSW?

The NPI number of Shante Leathers-Idowu, LICSW is 1003773706. It was assigned on January 6, 2026 and is currently active in the NPPES registry.

What is the specialty of Shante Leathers-Idowu, LICSW?

Shante Leathers-Idowu, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number licsw126767.

Where does Shante Leathers-Idowu, LICSW practice?

The practice location is 92 Walnut St, Stoughton, MA 02072-2639. The office can be reached at 857-236-5413 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003773706 directly on the NPPES registry website.

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