Elizabeth A Leon, LMSW
Individual provider Active NPI Clinical Social Worker · Grosse Ile, MI
NPI 1598829079 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598829079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801076805 (MI)
- Practice address
- 21599 Parke LN
Grosse Ile, MI 48138-1339 - Phone
- (734) 676-1378
- NPI assigned
- Dec 20, 2006
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801076805 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801076805 | MI | Yes |
Addresses
Primary practice location
21599 Parke LN
Grosse Ile, MI 48138-1339
Mailing address
21599 Parke LN
Grosse Ile, MI 48138-1339
Phone (734) 676-1378
Other providers in Grosse Ile, MI
- Mounir Khaled
- Sumera Khalid
- Isabella Kowal
- Anthony P Kozma
- Kevin Kwan
- Lifelong Family Dentistry PLLC
- Live Well Counseling and Wellness
- Loving Care Services Inc.
- Cortney Lynn McCarthy
- Charlie Metwele
All providers in Grosse Ile, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.