Provider Demographics
NPI:1285792721
Name:LEGER, LINDA L (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:LEGER
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 1:39 N WILDE YOUPON CT
Mailing Address - Street 2:LINDA LEGER LCSW
Mailing Address - City:WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381
Mailing Address - Country:US
Mailing Address - Phone:281-364-8504
Mailing Address - Fax:281-364-8504
Practice Address - Street 1:39 N WILDE YOUPON CT
Practice Address - Street 2:LINDA LEGER LCSW
Practice Address - City:WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381
Practice Address - Country:US
Practice Address - Phone:281-364-8504
Practice Address - Fax:281-364-8504
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16550104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX240860OtherVALUE OPTIONS
TX75LKOtherBCBS
TX240860OtherVALUE OPTIONS