Provider Demographics
NPI:1326055161
Name:GINDES, LEAH (LCSW)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:GINDES
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 1:5020 CLARK RD.
Mailing Address - Street 2:#517
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3231
Mailing Address - Country:US
Mailing Address - Phone:845-505-1301
Mailing Address - Fax:
Practice Address - Street 1:100 S. BEDFORD RD.
Practice Address - Street 2:STE 340
Practice Address - City:MT. KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3444
Practice Address - Country:US
Practice Address - Phone:845-505-1301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0384861041C0700X
NYR038486-011041C0700X
FLSW190501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical