Provider Demographics
NPI:1497811129
Name:CRONIN, LEIGH ANN (LICSW)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:CRONIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BRANCH ST
Mailing Address - Street 2:STE 102
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1923
Mailing Address - Country:US
Mailing Address - Phone:978-794-5406
Mailing Address - Fax:
Practice Address - Street 1:1 BRANCH ST
Practice Address - Street 2:STE 102
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1923
Practice Address - Country:US
Practice Address - Phone:978-934-9444
Practice Address - Fax:978-441-0800
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1027652104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker