Provider Demographics
NPI:1003021379
Name:DE GRATE, LEONARD CLARENCE JR (MSSW-LCSW-ACSW-DCSW)
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:CLARENCE
Last Name:DE GRATE
Suffix:JR
Gender:M
Credentials:MSSW-LCSW-ACSW-DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75161-5350
Mailing Address - Country:US
Mailing Address - Phone:972-551-8710
Mailing Address - Fax:
Practice Address - Street 1:1136 ROBIN RD
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75161-5350
Practice Address - Country:US
Practice Address - Phone:972-551-8521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0001791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical