Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE K GANNON
Active Sole ProprietorLESLIE K GANNON is a Clinical Social Worker healthcare provider located in WHITEFISH BAY, Wisconsin. NPI 1316295272 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WHITEFISH BAY, WI
Registration Details
- NPI Number
- 1316295272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2012 (13.931263782322 yrs)
- Last Updated
- Aug 27, 2012
- License
-
7490-123 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5573 N DIVERSEY BLVDWHITEFISH BAY, WI, 532175202Browse WI providers · Browse ZIP 53217
- Phone
- 4145267622
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WHITEFISH BAY, WI
| Name | Credential | NPI |
|---|---|---|
| EMILY ALEKSY | LCSW | 1194106500 |
| GABRIELLE GRACE TRECEK | LCSW | 1427786730 |
| HEATHER LUKACH | LICSW | 1518750579 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.