Provider Demographics
NPI:1700027901
Name:SATER, LESLIE A (LICSW)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:A
Last Name:SATER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:A
Other - Last Name:DONNELLY SATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3525 MONTEREY DR
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5275
Mailing Address - Country:US
Mailing Address - Phone:952-993-1990
Mailing Address - Fax:952-993-1980
Practice Address - Street 1:3525 MONTEREY DR
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-5275
Practice Address - Country:US
Practice Address - Phone:952-993-1990
Practice Address - Fax:952-993-1980
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN134631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical