Provider Demographics
NPI:1932606035
Name:LEONARD, CAROLINE ADAIR (JD, LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:ADAIR
Last Name:LEONARD
Suffix:
Gender:F
Credentials:JD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 HIGHLAND LN
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-4154
Mailing Address - Country:US
Mailing Address - Phone:202-577-9348
Mailing Address - Fax:
Practice Address - Street 1:106 HIGHLAND LN
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-4154
Practice Address - Country:US
Practice Address - Phone:202-577-9348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW147361041C0700X
VA09040104141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical