Provider Demographics
NPI:1649575788
Name:RIDPATH, LEAH FRANCESCA (LICSW)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:FRANCESCA
Last Name:RIDPATH
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2064
Mailing Address - Street 2:
Mailing Address - City:COTUIT
Mailing Address - State:MA
Mailing Address - Zip Code:02635-2064
Mailing Address - Country:US
Mailing Address - Phone:508-591-0995
Mailing Address - Fax:
Practice Address - Street 1:124 WASHINGTON ST STE 6
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1731
Practice Address - Country:US
Practice Address - Phone:508-591-0995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10286891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical