Healthcare Provider Details

I. General information

NPI: 1609791292
Provider Name (Legal Business Name): DANIEL LEINWEBER LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 PHEASANT CT
AUBURN MA
01501-2457
US

IV. Provider business mailing address

PO BOX 65
WESTBOROUGH MA
01581-0065
US

V. Phone/Fax

Practice location:
  • Phone: 774-287-6451
  • Fax:
Mailing address:
  • Phone: 774-287-6451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1143082
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: