Provider Demographics
NPI:1164741815
Name:PAYNE, LEAH R (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:R
Last Name:PAYNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LEAH
Other - Middle Name:R
Other - Last Name:LUFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:409 W GREENE STREET
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598
Mailing Address - Country:US
Mailing Address - Phone:281-332-4738
Mailing Address - Fax:281-724-6058
Practice Address - Street 1:409 W GREENE STREET
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:281-332-4738
Practice Address - Fax:281-724-6058
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW98311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical