Provider Demographics
NPI:1457783102
Name:LEBLANC, LINDSAY CARROLL (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:CARROLL
Last Name:LEBLANC
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 1:456 CENTRAL AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-2208
Mailing Address - Country:US
Mailing Address - Phone:203-507-1871
Mailing Address - Fax:
Practice Address - Street 1:326 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3021
Practice Address - Country:US
Practice Address - Phone:203-507-1871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical