Provider Demographics
NPI:1316703051
Name:LEONE, LEAH ROSE (LLMSW)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:ROSE
Last Name:LEONE
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 CLARENDON RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-2618
Mailing Address - Country:US
Mailing Address - Phone:616-366-2008
Mailing Address - Fax:
Practice Address - Street 1:2080 UNION AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49507-3247
Practice Address - Country:US
Practice Address - Phone:616-366-2008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker