Provider Demographics
NPI:1255676847
Name:DILLINGHAM, LEONA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LEONA
Middle Name:
Last Name:DILLINGHAM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 N GREEN RIVER RD
Mailing Address - Street 2:SUITE 910
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-1369
Mailing Address - Country:US
Mailing Address - Phone:812-479-1916
Mailing Address - Fax:812-479-5014
Practice Address - Street 1:5200 WASHINGTON AVE
Practice Address - Street 2:STE D
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4863
Practice Address - Country:US
Practice Address - Phone:812-437-1700
Practice Address - Fax:812-437-1702
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical