Nora Mary Leary, LICSW
Social Worker, Clinical in Milton, MA. Individual provider (NPI-1).
NPI number1003301508
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1003301508
- Entity type
- Individual (NPI-1)
- Name
- Nora Mary Leary
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2018
- Last updated
- Jun 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1025958 | MA | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
110 Lyman RdMilton, MA 02186-4637
Phone 617-293-5154
Mailing address
110 Lyman RdMilton, MA 02186-4637
Phone 617-293-5154
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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