Provider Demographics
NPI:1154415313
Name:LEONE, MAE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MAE
Middle Name:
Last Name:LEONE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:LEONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:414 NW 36TH DRIVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6402
Mailing Address - Country:US
Mailing Address - Phone:352-374-4418
Mailing Address - Fax:
Practice Address - Street 1:1950 LAUREL MANOR DR
Practice Address - Street 2:BLDG 240
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5603
Practice Address - Country:US
Practice Address - Phone:352-205-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW56001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical