MR. MATTHEW ALLAN LEACH (NPI# 1336694520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336694520 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW ALLAN LEACH |
| Credential | LCSWA |
| Practice Address |
1190 W Roosevelt Blvd Monroe NC 28110-2818 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 7042966200 |
| Practice Fax Number | 7042964668 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P010571 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1336694520 | 05 | |
| NC | BCBS | 19NG5 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 769 N Wendover Rd, Charlotte, NC 282111118 | 7043767180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053765925 | Matthew Thomas Leach | Dentist | 530 7th Ave Sw, Hickory, NC 28602-3238 | 2016-04-18 |
| 1467849513 | Matthew Reidy Leach | Psychiatry & Neurology | 3550 Terrace Street Scaife Hall Room 651, Pittsburgh, PA 15261-0001 | 2015-04-15 |
| 1396023578 | Matthew Leach | Recreation Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2011-07-22 |
| 1508151580 | Matthew Edward Leach | Otolaryngology | 39755 Date St, Murrieta, CA 92563-2007 | 2011-06-17 |
| 1679737878 | Matthew Scott Leach | Pharmacist | 60 Church St, Birmingham, AL 35213-3734 | 2008-07-16 |
| 1619191350 | Matthew William Leach | Physical Therapy Assistant | 135 Erie St E, Blauvelt, NY 10913-1823 | 2007-04-12 |
| 1023104841 | Matthew James Leach | Pharmacist | 100 Powell Dr., Suite 1, Dundee, MI 48131 | 2006-10-05 |
| 1366473985 | Matthew Brian Leach | Physical Therapist | 9368 Cedar Center Way, Louisville, KY 40291-4522 | 2006-07-05 |
| Street Address |
1190 W ROOSEVELT BLVD |
| City | MONROE |
| State | NC |
| Zip Code | 28110-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164418125 | Devendra C. Shah | Psychiatry & Neurology | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2005-09-26 |
| 1235742610 | Kirsten Deann Cole | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-08-26 |
| 1588283816 | Brianna Jayde Russell | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-04-16 |
| 1346874773 | Krista M Capobianco | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-02-25 |
| 1386278794 | Megan Small | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-02-24 |
| 1710523196 | Clarissa Anita Elmore | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-11-21 |
| 1730640517 | Haley Bradley | Marriage & Family Therapist | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-03-26 |
| 1205397197 | Kelsey Fish | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110 | 2019-03-25 |
| 1649731514 | Eusheakia Blakeney | Clinical Nurse Specialist | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-03-25 |
| 1578034930 | Chelsea Storm Elaann Griffith | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110 | 2018-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413406 | Tamara Blount | Social Worker | 351 E Village Dr, Monroe, NC 28112-8194 | 2020-06-30 |
| 1083246094 | Community Counseling Solutions | Social Worker | 2211 Redwood Dr, Monroe, LA 71201-3631 | 2020-02-07 |
| 1205470135 | Crystal Bradley | Social Worker | 24 Seals Dr, Monroe, NY 10950-3949 | 2019-11-04 |
| 1184270951 | Judy M Steverson | Social Worker | 1501 N Charlotte Ave Ste C214, Monroe, NC 28110-2525 | 2019-08-16 |
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1780101774 | Cara Bonwell-orr | Social Worker | 2242 W Roosevelt Blvd Ste G, Monroe, NC 28110-3071 | 2017-08-29 |
| 1982132718 | Support Throughout The Journey, LLC | Social Worker | 238 Monroe Tpke Unit B, Monroe, CT 06468-6200 | 2017-05-24 |
| 1124555818 | Jasmine Ashley Iannotti | Social Worker | 304 E Phifer St, Monroe, NC 28110-3039 | 2017-05-12 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.