Provider Demographics
NPI:1144399445
Name:FARLEY, LEAH ANN (LICSW)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:ANN
Last Name:FARLEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 THAIN RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:NH
Mailing Address - Zip Code:03229-2315
Mailing Address - Country:US
Mailing Address - Phone:603-505-0035
Mailing Address - Fax:
Practice Address - Street 1:1D COMMONS DR UNIT 23
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3433
Practice Address - Country:US
Practice Address - Phone:603-425-7600
Practice Address - Fax:603-425-7605
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical