Provider Demographics
NPI:1861658353
Name:INCE, LESLIE KAREN (LMHC, LMSW)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:KAREN
Last Name:INCE
Suffix:
Gender:F
Credentials:LMHC, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 FIR CT
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1697
Mailing Address - Country:US
Mailing Address - Phone:347-613-6522
Mailing Address - Fax:
Practice Address - Street 1:1603 FIR CT
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1697
Practice Address - Country:US
Practice Address - Phone:347-613-6522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000171-1101YM0800X
NY082949104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker