Provider Demographics
NPI:1891264495
Name:BREWER, LEIGH A (LCSW)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:A
Last Name:BREWER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LEIGH ANNE
Other - Middle Name:
Other - Last Name:BREWER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:773 APPLEWILDE DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-1370
Mailing Address - Country:US
Mailing Address - Phone:760-522-4705
Mailing Address - Fax:
Practice Address - Street 1:444 E 4TH AVE APT 312
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4367
Practice Address - Country:US
Practice Address - Phone:760-522-4705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-13
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1003061041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical