Provider Demographics
NPI:1124189006
Name:ADLER, LEONARD STANLEY (LCSW-C)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:STANLEY
Last Name:ADLER
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4211 BEL PRE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2005
Mailing Address - Country:US
Mailing Address - Phone:301-460-3111
Mailing Address - Fax:301-603-8735
Practice Address - Street 1:4211 BEL PRE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-2005
Practice Address - Country:US
Practice Address - Phone:301-460-3111
Practice Address - Fax:301-603-8735
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0510530000OtherMAGELLAN BEH HEALTH
MD4048OtherBLUE CROSS & BLUE SHIELD
MD3968163OtherAETNA
MD3968163OtherAETNA