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Contact Information

LINDA L LEAVENS, RN, LCSW, CASAC
166 LORD HOWE ST.
TICONDEROGA, NY12883
 Phone: 518-586-6568
 Fax: 518-585-3265
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Registered Nurse

163W00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LINDA L LEAVENS · (Female)

NPI # 1962776153
Status Active
Credentials RN, LCSW, CASAC
Entity Individual
Enumeration date 03/06/2012
Last updated 11/30/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 068145-1
  • NY License # 080134-1
  • NY License # 16940
  • NY License # 362081-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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