Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leidy M Martinez Bodre, LSWAIC

Individual provider Clinical Social Worker · NPI 1376242198

Leidy M Martinez Bodre, LSWAIC is a Clinical Social Worker in Kent, Washington. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
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Practice location Address checks out

1126 4th Ave N
Kent, WA 98032
Phone: (253) 204-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SC61400894 (WA)

Record details

NPI number1376242198
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSWAIC
Sole proprietorYes
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateFebruary 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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