Provider Demographics
NPI:1851578744
Name:LECLERE, OSCAR ALEJANDRO (MSW)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:ALEJANDRO
Last Name:LECLERE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10515 BALBOA BULEVARD
Mailing Address - Street 2:SUITE 376
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344
Mailing Address - Country:US
Mailing Address - Phone:818-488-3837
Mailing Address - Fax:818-360-8753
Practice Address - Street 1:10515 BALBOA BLVD
Practice Address - Street 2:SUITE 376
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-6343
Practice Address - Country:US
Practice Address - Phone:818-488-3837
Practice Address - Fax:818-360-8753
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA229061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical