Provider Demographics
NPI:1437287638
Name:LEINHAAS, MARIE-ANNE M (LCSW)
Entity Type:Individual
Prefix:
First Name:MARIE-ANNE
Middle Name:M
Last Name:LEINHAAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WELLS ST
Mailing Address - Street 2:SUITE # 8
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2998
Mailing Address - Country:US
Mailing Address - Phone:401-596-4769
Mailing Address - Fax:401-596-4276
Practice Address - Street 1:11 WELLS ST
Practice Address - Street 2:SUITE # 8
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2998
Practice Address - Country:US
Practice Address - Phone:401-596-4769
Practice Address - Fax:401-596-4276
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW009791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
2078441OtherCIGNA BEHAVORIAL HEALTH
119174OtherUHC (FIDELITY INVESTMENT)
331225OtherMHN
447142OtherTUFTS
140000979RI01OtherANTHEM BCBS
410238OtherBLUE CHIP
NV366OtherEMPIRE BCBS, NY
1021090OtherBEACON HEALTH STATEGIES
455367OtherTRICARE
62-21669OtherUNITED HEALTH CARE SERV.
455367OtherVALUE OPTIONS
20746-001OtherBCBSRI
344561OtherMAGELLAN BEH. HEALTH
455367OtherPHS (HEALTH NET)
7922211OtherAETNA
RI2319OtherHEALTHNET
455367OtherHEALTHNET (BRIDGEPORT)
RIML41956Medicaid