Active NPIIndividual provider

Tina A Leavitt, LICSW

Social Worker, Clinical in Cranston, Rhode Island

NPI Number1346896701
Practice location
989 Reservoir Ave Ste 203, Cranston, RI 02910-5138
Fax
—
Last updated
July 15, 2024

Tina A. Leavitt is a Social Worker, Clinical based in Cranston, RI. Tina A. Leavitt practices in Cranston, RI and has the professional credentials of LICSW. The NPI Number for Tina A. Leavitt is 1346896701 and holds a License No. LICSW124585 (MA). The current practice location address for Tina A. Leavitt is 989 Reservoir Ave Ste 203, Cranston, RI 02910-5138 and can be reached out via phone at 401-414-7888.

Provider Profile Details

NPI Number
1346896701
Provider Name
Tina A. Leavitt
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
989 Reservoir Ave Ste 203, Cranston, RI 02910-5138
Phone Number
401-414-7888
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2019
Last Update Date
July 15, 2024
Certification Date
July 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
989 Reservoir Ave Ste 203
Cranston, RI 02910-5138
Zip
02910-5138
Phone Number
401-414-7888
Cranston, RI 02910Get directions →

Provider Business Mailing Address Details

Address
989 Reservoir Ave Ste 203
Cranston, RI 02910-5138
City
Cranston
State
RI
Zip
02910-5138
Phone Number
014-147-8884
Fax Number
401-638-1740

License Information

License Number (1)
LICSW124585
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
ISW02932
License State (2)
RI
Taxonomy (2)
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 Tina A Leavitt, LICSW?

The NPI number of Tina A Leavitt, LICSW is 1346896701. It was assigned on August 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Tina A Leavitt, LICSW?

Tina A Leavitt, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW124585.

Where does Tina A Leavitt, LICSW practice?

The practice location is 989 Reservoir Ave Ste 203, Cranston, RI 02910-5138. The office can be reached at 401-414-7888 (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 1346896701 directly on the NPPES registry website.

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