Provider Demographics
NPI:1225428410
Name:VEECK, LEAH (LCSW-C)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:VEECK
Suffix:
Gender:F
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 1:5500 KNOLL NORTH DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2370
Mailing Address - Country:US
Mailing Address - Phone:410-884-7831
Mailing Address - Fax:410-730-8015
Practice Address - Street 1:5500 KNOLL NORTH DR
Practice Address - Street 2:SUITE 370
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2370
Practice Address - Country:US
Practice Address - Phone:410-884-7831
Practice Address - Fax:410-730-8015
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20576171M00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator