Provider Demographics
NPI:1366287781
Name:LANCASTER, LEAH J (LMSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:J
Last Name:LANCASTER
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 1:2057 FLETCHER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38133-7059
Mailing Address - Country:US
Mailing Address - Phone:901-410-9062
Mailing Address - Fax:901-328-2768
Practice Address - Street 1:2057 FLETCHER CREEK DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133-7059
Practice Address - Country:US
Practice Address - Phone:901-410-9062
Practice Address - Fax:901-328-2768
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14636104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker