Provider Demographics
NPI:1669552378
Name:LEONARDI, CATHERINE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:LEONARDI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-2332
Mailing Address - Country:US
Mailing Address - Phone:860-388-3844
Mailing Address - Fax:860-388-1689
Practice Address - Street 1:191 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-2332
Practice Address - Country:US
Practice Address - Phone:860-388-3844
Practice Address - Fax:860-388-1689
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0004281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical