Provider Demographics
NPI:1669084117
Name:KLIPPER, LEIGH ANN (LCSW)
Entity type:Individual
Prefix:
First Name:LEIGH ANN
Middle Name:
Last Name:KLIPPER
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:PO BOX 6536
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-0536
Mailing Address - Country:US
Mailing Address - Phone:757-709-4976
Mailing Address - Fax:
Practice Address - Street 1:111 SUNNY COVE RD
Practice Address - Street 2:
Practice Address - City:MONETA
Practice Address - State:VA
Practice Address - Zip Code:24121-2714
Practice Address - Country:US
Practice Address - Phone:757-709-4976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040077681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical