Provider Demographics
NPI:1659136851
Name:SCHOLL, LEAH MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:SCHOLL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 LAKE REGION BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-1133
Mailing Address - Country:US
Mailing Address - Phone:347-853-3884
Mailing Address - Fax:
Practice Address - Street 1:31 LAKE REGION BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-1133
Practice Address - Country:US
Practice Address - Phone:347-853-3884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115702104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker