Leslie Spero, LCSW
Individual provider Active NPI Clinical Social Worker · Agoura, CA
NPI 1730406471 · NPPES record last updated Feb 6, 2018
Key facts
- NPI
- 1730406471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 28240 Agoura Rd
Suite 304
Agoura, CA 91301-2485 - Phone
- (818) 571-3894
- NPI assigned
- Apr 20, 2010
- 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 |
|---|---|---|---|
| 26473 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 26473 | CA | |
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
28240 Agoura Rd
Suite 304
Agoura, CA 91301-2485
Mailing address
28240 Agoura Rd Ste 304
Agoura Hills, CA 91301-2489
Phone (818) 571-3894
Other providers in Agoura, CA
- Mikaela Martinez
- Brandon Moritz
- Marco Quezada
- Kathryn Redd
- Allison Sangiacomo
- Sanjay Udani
- Martha Snyder Vaughan
- Krista Marie Windisch
- Kimberly Marie Wyman
All providers in Agoura, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2018. 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.