Provider Demographics
NPI:1760150122
Name:CARDEN, LEAH ASHLEY (LICSW)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ASHLEY
Last Name:CARDEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:AL
Mailing Address - Zip Code:35051-5131
Mailing Address - Country:US
Mailing Address - Phone:205-400-0287
Mailing Address - Fax:
Practice Address - Street 1:6 OFFICE PARK CIR STE 302
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2784
Practice Address - Country:US
Practice Address - Phone:205-400-0287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4845C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical