1336277565 NPI number — PAUL LEINHAAS LCSW

Table of content: PAUL LEINHAAS LCSW (NPI 1336277565)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336277565 NPI number — PAUL LEINHAAS LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEINHAAS
Provider First Name:
PAUL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336277565
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 WELLS ST
Provider Second Line Business Mailing Address:
SUITE # 8
Provider Business Mailing Address City Name:
WESTERLY
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02891-2998
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-596-4769
Provider Business Mailing Address Fax Number:
401-596-4276

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 WELLS ST
Provider Second Line Business Practice Location Address:
SUITE # 8
Provider Business Practice Location Address City Name:
WESTERLY
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02891-2998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-596-4769
Provider Business Practice Location Address Fax Number:
401-596-4276
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  ISW00976 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1021090 . This is a "BEACON HEALTH STRATEGIES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 255431 . This is a "MHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 119174 . This is a "UHC (FIDELITY INVESTMENT)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2220032 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: PL42650 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004661 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 62-19033 . This is a "UNITED HEALTH CARE SERV." identifier . This identifiers is of the category "OTHER".
  • Identifier: RI2319 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 004661 . This is a "TRICARE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 344561 . This is a "MAGELLAN BEH HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 989739-000000007 . This is a "JOHN ALDEN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20782-001 . This is a "BCBSRI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 140000976RI01 . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 410051 . This is a "BLUE CHIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7355218 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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