Provider Demographics
NPI:1124177076
Name:POWERS, LESLIE LOSINGER (MSW)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:LOSINGER
Last Name:POWERS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 SUNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-4900
Mailing Address - Country:US
Mailing Address - Phone:530-921-8690
Mailing Address - Fax:
Practice Address - Street 1:3610 SUNWOOD DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-4900
Practice Address - Country:US
Practice Address - Phone:530-248-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 129261041C0700X
CALCSW264011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical