Provider Demographics
NPI:1972094092
Name:JENKINS, LEAH CATHERINE (LCSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:CATHERINE
Last Name:JENKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 M J ISRAEL DR
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-3759
Mailing Address - Country:US
Mailing Address - Phone:985-281-2154
Mailing Address - Fax:985-545-1003
Practice Address - Street 1:100 M J ISRAEL DR
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3757
Practice Address - Country:US
Practice Address - Phone:985-281-2156
Practice Address - Fax:985-545-1003
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical