Provider Demographics
NPI:1114586914
Name:FILOMENA, LEAH C (MSW LCAS LCSW LSATP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:C
Last Name:FILOMENA
Suffix:
Gender:F
Credentials:MSW LCAS LCSW LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 227
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22604-0227
Mailing Address - Country:US
Mailing Address - Phone:910-389-4169
Mailing Address - Fax:
Practice Address - Street 1:149 N LOUDOUN ST STE 205
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6060
Practice Address - Country:US
Practice Address - Phone:910-389-4169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0128681041C0700X
VA09040128741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical