Individual provider · Type 1 NPI

Shante Leathers-Idowu, LICSW

Clinical Social Worker · Stoughton, MA

NPI number 1003773706 Active

Practice location

92 Walnut St
Stoughton, MA 02072-2639

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLICSW126767 (MA)

Clinical Social Worker: 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 interpers…

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About NPI 1003773706

Shante Leathers-Idowu, LICSW's National Provider Identifier is 1003773706, issued on Jan 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stoughton, MA. The record was last updated on Jan 6, 2026.