Provider Demographics
NPI:1083789499
Name:DOWNEY LEONARD, LAMONE MICHELLE (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:LAMONE
Middle Name:MICHELLE
Last Name:DOWNEY LEONARD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BRADLEE ST
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-3850
Mailing Address - Country:US
Mailing Address - Phone:646-415-1377
Mailing Address - Fax:
Practice Address - Street 1:124 HARVARD ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6478
Practice Address - Country:US
Practice Address - Phone:857-342-2018
Practice Address - Fax:857-342-2018
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1216561041C0700X
MA213786104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker