Provider Demographics
NPI:1518161785
Name:OJEDA, LEIGH D (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:D
Last Name:OJEDA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6990 GRIFFIN RD
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-4345
Mailing Address - Country:US
Mailing Address - Phone:754-248-9589
Mailing Address - Fax:754-764-0054
Practice Address - Street 1:6990 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-4345
Practice Address - Country:US
Practice Address - Phone:754-248-9589
Practice Address - Fax:754-764-0054
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW80661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114450400Medicaid