Provider Demographics
NPI:1730486606
Name:MCCLEARY, LESLIE ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ANNE
Last Name:MCCLEARY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5024 PERSIMMON LN
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-7723
Mailing Address - Country:US
Mailing Address - Phone:720-236-9789
Mailing Address - Fax:
Practice Address - Street 1:7355 E ORCHARD RD
Practice Address - Street 2:SUITE #350
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2570
Practice Address - Country:US
Practice Address - Phone:303-248-3481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW-17901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical