Provider Demographics
NPI:1518572932
Name:LEANDER, JAMILA (LCSW)
Entity Type:Individual
Prefix:
First Name:JAMILA
Middle Name:
Last Name:LEANDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JAMILA
Other - Middle Name:
Other - Last Name:RUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:445 W 6TH ST UNIT 210
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-1248
Mailing Address - Country:US
Mailing Address - Phone:213-580-1858
Mailing Address - Fax:
Practice Address - Street 1:1055 WILSHIRE BLVD STE 1955
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-5602
Practice Address - Country:US
Practice Address - Phone:213-580-1858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA884551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical