Provider Demographics
NPI:1649700188
Name:FILIPCZAK, LEINA (LLMSW)
Entity type:Individual
Prefix:
First Name:LEINA
Middle Name:
Last Name:FILIPCZAK
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:LEINA
Other - Middle Name:
Other - Last Name:KESKI-HYNNILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35425 W MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184-9800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7263 CHICHESTER RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-1436
Practice Address - Country:US
Practice Address - Phone:734-890-6385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011096841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical