Provider Demographics
NPI:1619256526
Name:LEUNG, CAROL A (PHD, LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:LEUNG
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90018-3331
Mailing Address - Country:US
Mailing Address - Phone:281-797-7860
Mailing Address - Fax:
Practice Address - Street 1:3506 10TH AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90018-3331
Practice Address - Country:US
Practice Address - Phone:512-593-2045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0842691041C0700X
CA805671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical