Provider Demographics
NPI:1558488981
Name:PAUL, LESLIE GRIFFITHS (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:GRIFFITHS
Last Name:PAUL
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 1:326 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2514
Mailing Address - Country:US
Mailing Address - Phone:617-527-2315
Mailing Address - Fax:
Practice Address - Street 1:326 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2514
Practice Address - Country:US
Practice Address - Phone:617-527-2315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1017351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical