Provider Demographics
NPI:1184782658
Name:MULCAHY, LESA M (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:LESA
Middle Name:M
Last Name:MULCAHY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MRS
Other - First Name:LESA
Other - Middle Name:M
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:403 RACE STREET
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613
Mailing Address - Country:US
Mailing Address - Phone:410-901-9500
Mailing Address - Fax:410-901-1388
Practice Address - Street 1:403 RACE STREET
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613
Practice Address - Country:US
Practice Address - Phone:410-901-9500
Practice Address - Fax:410-901-1388
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD117801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical