Provider Demographics
NPI:1932331535
Name:BESEN, LEAH J (LCSW)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:J
Last Name:BESEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LEAHRA
Other - Middle Name:
Other - Last Name:BESEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4576 PARK BLVD APT 5
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-2655
Mailing Address - Country:US
Mailing Address - Phone:858-449-3970
Mailing Address - Fax:
Practice Address - Street 1:4990 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-3409
Practice Address - Country:US
Practice Address - Phone:619-668-4263
Practice Address - Fax:619-698-1665
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 245581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical