Provider Demographics
NPI:1124099460
Name:LARMOND, LEONIE D (LCSW)
Entity type:Individual
Prefix:MS
First Name:LEONIE
Middle Name:D
Last Name:LARMOND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 N MAGNOLIA AVE
Mailing Address - Street 2:317
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3852
Mailing Address - Country:US
Mailing Address - Phone:407-843-1455
Mailing Address - Fax:407-843-1456
Practice Address - Street 1:924 N MAGNOLIA AVE
Practice Address - Street 2:SUITE 317
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3852
Practice Address - Country:US
Practice Address - Phone:407-843-1455
Practice Address - Fax:407-843-1456
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW31211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7371ZMedicare ID - Type Unspecified