Provider Demographics
NPI:1366030777
Name:FREE, LESLIE DAWN (LCSW)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:DAWN
Last Name:FREE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:DAWN
Other - Last Name:LINDSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:72 SOMERSET HILLS CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-7316
Mailing Address - Country:US
Mailing Address - Phone:901-633-3657
Mailing Address - Fax:
Practice Address - Street 1:72 SOMERSET HILLS CT
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-7316
Practice Address - Country:US
Practice Address - Phone:901-633-3657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-02
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1087251041C0700X
TN69131041C0700X
MO20240384961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical