Provider Demographics
NPI:1841993987
Name:LEGER, VANESSA NAOMIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:NAOMIE
Last Name:LEGER
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 1:1546 SE ROYAL GREEN CIR APT L102
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7640
Mailing Address - Country:US
Mailing Address - Phone:786-541-3202
Mailing Address - Fax:
Practice Address - Street 1:1546 SE ROYAL GREEN CIR APT L102
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7640
Practice Address - Country:US
Practice Address - Phone:786-541-3202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW211741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty