Provider Demographics
NPI:1003438110
Name:ATKINS, LESLEY LYNN (MSW, CSW-PIP)
Entity type:Individual
Prefix:
First Name:LESLEY
Middle Name:LYNN
Last Name:ATKINS
Suffix:
Gender:F
Credentials:MSW, CSW-PIP
Other - Prefix:
Other - First Name:LESLEY
Other - Middle Name:LYNN
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, CSW-PIP
Mailing Address - Street 1:841 S JACKSON ST SUITE C
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:SD
Mailing Address - Zip Code:57533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:841 S JACKSON ST SUITE C
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:SD
Practice Address - Zip Code:57533
Practice Address - Country:US
Practice Address - Phone:605-831-9772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker