Provider Demographics
NPI:1699861765
Name:FLETCHER, LEAH MCGOWAN (LCSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MCGOWAN
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:C
Other - Last Name:MCGOWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3162 PATRICK HENRY DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-1825
Mailing Address - Country:US
Mailing Address - Phone:818-256-5202
Mailing Address - Fax:
Practice Address - Street 1:3162 PATRICK HENRY DR
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-1825
Practice Address - Country:US
Practice Address - Phone:818-256-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW802011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical