MRS. Linda L Leavens, RN, LCSW, CASAC

NPI #1962776153 in Ticonderoga, New York

Provider Information

NPI Number: 1962776153
Entity Type: Individual
Name: MRS. Linda L Leavens, RN, LCSW, CASAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: RN, LCSW, CASAC
Enumeration Date: Mar 6, 2012
Last Updated: Nov 30, 2012

Practice Location

Address: 166 LORD HOWE ST.
City: Ticonderoga
State: New York
ZIP Code: 12883
Phone: (518) 586-6568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X
Registered Nurse	163W00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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