Provider Demographics
NPI:1689728982
Name:OVERSTREET, LESLI L (MSW, JD)
Entity Type:Individual
Prefix:MS
First Name:LESLI
Middle Name:L
Last Name:OVERSTREET
Suffix:
Gender:F
Credentials:MSW, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10916 NW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-8271
Mailing Address - Country:US
Mailing Address - Phone:617-872-0888
Mailing Address - Fax:
Practice Address - Street 1:10916 NW 40TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-8271
Practice Address - Country:US
Practice Address - Phone:617-872-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker