Provider Demographics
NPI:1093819088
Name:ORENSTEIN, LESLIE ELLEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:ELLEN
Last Name:ORENSTEIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WATERVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385
Mailing Address - Country:US
Mailing Address - Phone:860-442-8221
Mailing Address - Fax:
Practice Address - Street 1:808 STONINGTON ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:STONINGTON
Practice Address - State:CT
Practice Address - Zip Code:06378
Practice Address - Country:US
Practice Address - Phone:860-535-9920
Practice Address - Fax:860-535-9921
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003059104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker