Provider Demographics
NPI:1336277565
Name:LEINHAAS, PAUL (LCSW)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:LEINHAAS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WELLS ST
Mailing Address - Street 2:SUITE # 8
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2998
Mailing Address - Country:US
Mailing Address - Phone:401-596-4769
Mailing Address - Fax:401-596-4276
Practice Address - Street 1:11 WELLS ST
Practice Address - Street 2:SUITE # 8
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2998
Practice Address - Country:US
Practice Address - Phone:401-596-4769
Practice Address - Fax:401-596-4276
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW009761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1021090OtherBEACON HEALTH STRATEGIES
255431OtherMHN
119174OtherUHC (FIDELITY INVESTMENT)
2220032OtherCIGNA
RIPL42650Medicaid
004661OtherVALUE OPTIONS
62-19033OtherUNITED HEALTH CARE SERV.
RI2319OtherHEALTHNET
004661OtherTRICARE OPTIONS
344561OtherMAGELLAN BEH HEALTH
989739-000000007OtherJOHN ALDEN
20782-001OtherBCBSRI
140000976RI01OtherANTHEM BCBS
410051OtherBLUE CHIP
7355218OtherAETNA