Provider Demographics
NPI:1376512871
Name:HOUGHTON, LEAH D (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:D
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:LEAH
Other - Middle Name:D
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:5424 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-3446
Mailing Address - Country:US
Mailing Address - Phone:913-287-1300
Mailing Address - Fax:913-287-3059
Practice Address - Street 1:5424 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-3446
Practice Address - Country:US
Practice Address - Phone:913-287-1300
Practice Address - Fax:913-287-3059
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW5530104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker