Provider Demographics
NPI:1386445898
Name:PREZZI, LEAH KATLYNN MILES (LMSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:KATLYNN MILES
Last Name:PREZZI
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGELY
Mailing Address - State:MD
Mailing Address - Zip Code:21660-2148
Mailing Address - Country:US
Mailing Address - Phone:410-310-7752
Mailing Address - Fax:
Practice Address - Street 1:165 LOG CANOE CIR STE B3
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2150
Practice Address - Country:US
Practice Address - Phone:443-249-3351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD32841104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker