Provider Demographics
NPI:1578116737
Name:PINKELMAN, LEIGH (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:PINKELMAN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5862 FIRETHORNE DR APT O
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-6781
Mailing Address - Country:US
Mailing Address - Phone:419-690-2353
Mailing Address - Fax:
Practice Address - Street 1:5862 FIRETHORNE DR APT O
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-6781
Practice Address - Country:US
Practice Address - Phone:419-690-2353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1904094104100000X
OHI.22036801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1437626587OtherANCHORED IN HOPE COUNSELING LLC. GROUP NPI
OH0359575Medicaid
OH1861194466OtherFROM THE ASHES, LLC.