Provider Demographics
NPI:1164734737
Name:LEIGHT, MARGARET WEAKLEY (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:WEAKLEY
Last Name:LEIGHT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23930 OCEAN AVE APT 160
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5857
Mailing Address - Country:US
Mailing Address - Phone:310-373-0590
Mailing Address - Fax:310-373-0590
Practice Address - Street 1:23930 OCEAN AVE APT 160
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5857
Practice Address - Country:US
Practice Address - Phone:310-497-1458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS221241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical