Provider Demographics
NPI:1841668811
Name:KAPSNER-ANFINSON, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:KAPSNER-ANFINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3133 CASWELL DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1275
Mailing Address - Country:US
Mailing Address - Phone:248-839-8666
Mailing Address - Fax:
Practice Address - Street 1:44444 HAYES RD # 100
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-7600
Practice Address - Country:US
Practice Address - Phone:248-266-2423
Practice Address - Fax:810-664-8728
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011051131041C0700X
1041C0700X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical