Provider Demographics
NPI:1477673861
Name:VOJTICEK, LEIGH ANN CARR (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH ANN
Middle Name:CARR
Last Name:VOJTICEK
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 1:2511 WALDEN WOODS DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-6245
Mailing Address - Country:US
Mailing Address - Phone:919-880-5870
Mailing Address - Fax:
Practice Address - Street 1:10211 ALM ST STE 1100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8221
Practice Address - Country:US
Practice Address - Phone:919-385-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0046781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC147UVOtherBLUE CROSS BLUE SHIELD
NC6003586Medicaid