Provider Demographics
NPI:1043450935
Name:HARTWELL, LEANETTA PATRICIA (PHD, MSW)
Entity Type:Individual
Prefix:DR
First Name:LEANETTA
Middle Name:PATRICIA
Last Name:HARTWELL
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-2010
Mailing Address - Country:US
Mailing Address - Phone:864-489-0453
Mailing Address - Fax:
Practice Address - Street 1:107 COMMUNITY COLLEGE DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-4759
Practice Address - Country:US
Practice Address - Phone:864-592-4976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical