Provider Demographics
NPI:1124120506
Name:LEON-LEBRON, LUISA (LCSW)
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:
Last Name:LEON-LEBRON
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 1:24 WHITING STREET
Mailing Address - Street 2:NEW BRITAIN GENERAL HOSPITAL HISPANIC COUNSELING CENTE
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051
Mailing Address - Country:US
Mailing Address - Phone:860-224-5300
Mailing Address - Fax:860-826-4995
Practice Address - Street 1:24 WHITING STREET
Practice Address - Street 2:NEW BRITAIN GENERAL HOSPITAL HISPANIC COUNSELING CENTE
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051
Practice Address - Country:US
Practice Address - Phone:860-224-5300
Practice Address - Fax:860-826-4995
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003694104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker