MR. LEIGH DEXTER TUTTLE (PH.D.) – Clinical Social Worker, NPI 1992811624

MR. LEIGH DEXTER TUTTLE (PH.D.) is a healthcare provider. based in Bolton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PH.D.. They hold a License No. 1015358 (MA). The NPI Number for MR. LEIGH DEXTER TUTTLE (PH.D.) is 1992811624

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. LEIGH DEXTER TUTTLE (PH.D.)
NPI
1992811624
Phone
(978) 779-0211
Address
563 MAIN ST
Enumeration Date
23 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
8224029202
Professional Enrollment ID
I20040519000747
Address ID
MA017401300Bo563XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MR. LEIGH DEXTER TUTTLE (PH.D.)

  • 563, Main Street, Bolton, Worcester County, Massachusetts, 01740, United States

    BOLTON, MA 017401300

    Phone: (978) 779-0211

    Fax: (978) 779-0211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040519000747IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01740)

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Reviews

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Frequently asked questions

Can I cross-check MR. LEIGH DEXTER TUTTLE (PH.D.) using NPI 1992811624?
NPI 1992811624 belongs to MR. LEIGH DEXTER TUTTLE (PH.D.); compare other details if you need extra assurance.
Active or inactive — what applies to MR. LEIGH DEXTER TUTTLE (PH.D.)?
You should see MR. LEIGH DEXTER TUTTLE (PH.D.) as active in CMS-hosted NPPES data.
What kind of doctor is MR. LEIGH DEXTER TUTTLE (PH.D.)?
MR. LEIGH DEXTER TUTTLE (PH.D.) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is MR. LEIGH DEXTER TUTTLE (PH.D.) associated with Bolton?
Public fields place MR. LEIGH DEXTER TUTTLE (PH.D.) around Bolton, Massachusetts. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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