Provider Demographics
NPI:1003123738
Name:MCPHERSON HADLEY, LESLIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:
Last Name:MCPHERSON HADLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:LESLIE
Other - Middle Name:
Other - Last Name:MCPHERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1011 WILDMERE PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1282
Mailing Address - Country:US
Mailing Address - Phone:434-973-8750
Mailing Address - Fax:
Practice Address - Street 1:1011 WILDMERE PLACE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8004
Practice Address - Country:US
Practice Address - Phone:434-963-0324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040071591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical