Provider Demographics
NPI:1184062390
Name:BEESLEY, LESLIE (LMSW)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:BEESLEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-2700
Mailing Address - Country:US
Mailing Address - Phone:785-551-0449
Mailing Address - Fax:785-746-0090
Practice Address - Street 1:719 MASSACHUSETTS ST STE 124
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044
Practice Address - Country:US
Practice Address - Phone:785-551-0449
Practice Address - Fax:785-746-0090
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical