Provider Demographics
NPI:1851583389
Name:HARGER, LEA B (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LEA
Middle Name:B
Last Name:HARGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LEA
Other - Middle Name:
Other - Last Name:SCHILLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:P.O. BOX 1387
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-1387
Mailing Address - Country:US
Mailing Address - Phone:208-415-0299
Mailing Address - Fax:208-625-2070
Practice Address - Street 1:2201 IRONWOOD PLACE
Practice Address - Street 2:SUITE 100
Practice Address - City:COEUR D'ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814
Practice Address - Country:US
Practice Address - Phone:208-769-4222
Practice Address - Fax:208-667-7557
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-27526101Y00000X
IDLCSW324271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor