Provider Demographics
NPI:1194290544
Name:LEACH, BRITTANY (LMSW)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:LEACH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 ROBIN RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-1965
Mailing Address - Country:US
Mailing Address - Phone:443-626-7530
Mailing Address - Fax:
Practice Address - Street 1:6301 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-1839
Practice Address - Country:US
Practice Address - Phone:443-835-4353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21506104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker