Provider Demographics
NPI:1265910962
Name:CARTMELL, LEAH PAXTON (LCSW)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:PAXTON
Last Name:CARTMELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 JOY ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-4148
Mailing Address - Country:US
Mailing Address - Phone:248-766-2502
Mailing Address - Fax:617-506-4534
Practice Address - Street 1:23 JOY ST APT 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-4148
Practice Address - Country:US
Practice Address - Phone:248-766-2502
Practice Address - Fax:617-506-4534
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219464104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker