Provider Demographics
NPI:1962476689
Name:SHAPIRO, LESLIE M (LSCSW)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:M
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:M
Other - Last Name:COUCH-SHAPIRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSCSW
Mailing Address - Street 1:8787 BALLENTINE
Mailing Address - Street 2:STE 1200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214
Mailing Address - Country:US
Mailing Address - Phone:913-339-9933
Mailing Address - Fax:913-339-9915
Practice Address - Street 1:8787 BALLENTINE
Practice Address - Street 2:STE 1200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214
Practice Address - Country:US
Practice Address - Phone:913-339-9933
Practice Address - Fax:913-339-9915
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS22781041C0700X
MO0012211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical