Katherine Mavis Leahey, LCSW
Social Worker, Clinical in Mechanicsville, VA. Individual provider (NPI-1).
NPI number1164091575
StatusActive
Last updated in NPPESJun 21, 2021
Details
- NPI
- 1164091575
- Entity type
- Individual (NPI-1)
- Name
- Katherine Mavis Leahey
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- May 24, 2021
- Last updated
- Jun 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904012546 | VA | Yes |
Other names
- Katherine Mavis Nelson (Former Name)
Practice location
8475 Bell Creek RdMechanicsville, VA 23116-3866
Phone 804-365-6760
Mailing address
12300 Washington HwyAshland, VA 23005-7646
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