LEONDRE JAMAL WIGGINS
NPI 1104422633
Counselor - Addiction (Substance Use Disorder) in Brockton, MA

Active since December 09, 2020
10 MEADOWBROOK RD, BROCKTON, MA 02301(774) 628-1000 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leondre Jamal Wiggins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEONDRE JAMAL WIGGINS (NPI 1104422633) is an individual addiction (substance use disorder) provider in Brockton, Massachusetts and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1104422633
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLEONDRE JAMAL WIGGINS
Location Address10 MEADOWBROOK RDBrockton, MA 02301-7122
Mailing Address72 Kilburn StNew Bedford, MA 02740-7321 · (774) 628-1000
Sole ProprietorNo
Enumeration DateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
NPI 1104422633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
10 MEADOWBROOK RD, Brockton, MA 02301

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Social Worker
10 MEADOWBROOK RD
BROCKTON, MA 02301
Counselor
10 MEADOWBROOK RD
BROCKTON, MA 02301
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Counselor (Mental Health)
10 MEADOWBROOK RD
BROCKTON, MA 02301
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Social Worker
10 MEADOWBROOK RD
BROCKTON, MA 02301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leondre Wiggins's NPI number?

The NPI number for Leondre Wiggins is 1104422633. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Leondre Wiggins located?

Leondre Wiggins practices at 10 Meadowbrook Rd, Brockton, MA 02301. The listed phone number is (774) 628-1000.

What is Leondre Wiggins's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Leondre Wiggins was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.