Provider Demographics
NPI:1821651407
Name:LEININGER, ELIZABETH LYNN (CPSW, CCSS, CCHW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:LYNN
Last Name:LEININGER
Suffix:
Gender:F
Credentials:CPSW, CCSS, CCHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 FIR ST
Mailing Address - Street 2:
Mailing Address - City:T OR C
Mailing Address - State:NM
Mailing Address - Zip Code:87901-1724
Mailing Address - Country:US
Mailing Address - Phone:575-740-5909
Mailing Address - Fax:
Practice Address - Street 1:808 FIR ST
Practice Address - Street 2:
Practice Address - City:T OR C
Practice Address - State:NM
Practice Address - Zip Code:87901-1724
Practice Address - Country:US
Practice Address - Phone:575-740-5909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator