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NPI Code Detail

MEDICARE: MRS. LAMONE MICHELLE DOWNEY LEONARD LICSW

MEDICARE: MRS. LAMONE MICHELLE DOWNEY LEONARD LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker121656MA
2104100000XSocial Worker213786MA

General Provider Information

NPI Number : 1083789499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAMONE MICHELLE DOWNEY LEONARD LICSW
Provider Business Mailing Address
First Line : 20 BRADLEE ST
Second Line :
City : HYDE PARK
State : MA
Zip : 02136-3850
Country : US
Telephone Number : 646-415-1377
Fax Number :
Provider Business Practice Location Address
First Line : 124 HARVARD ST
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-6478
Country : US
Telephone Number : 857-342-2018
Fax Number : 857-342-2018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 01/17/2020

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