Leishla V Cordero, MA

Individual provider Active NPI Clinical Social Worker · Camuy, PR

NPI 1497572226 · NPPES record last updated Sep 23, 2024

Key facts

NPI
1497572226
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
16625 (PR)
Practice address
HC 3 Box 12797
Camuy, PR 00627-7367
Phone
(939) 266-4724
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16625 PR Yes

Addresses

Primary practice location

HC 3 Box 12797
Camuy, PR 00627-7367

Mailing address

HC 3 Box 12797
Camuy, PR 00627-7367

Other providers in Camuy, PR

All providers in Camuy, PR · Clinical Social Worker in Puerto Rico

Sources for this page

Verify at the official NPI Registry.