Provider Demographics
NPI:1952473225
Name:KLEIN, LEONARDO JAVIER (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LEONARDO
Middle Name:JAVIER
Last Name:KLEIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2234 77TH ST
Mailing Address - Street 2:APT B1
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1232
Mailing Address - Country:US
Mailing Address - Phone:718-267-1668
Mailing Address - Fax:
Practice Address - Street 1:8211 37TH AVE
Practice Address - Street 2:401
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7001
Practice Address - Country:US
Practice Address - Phone:718-396-6766
Practice Address - Fax:718-396-6645
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical