Provider Demographics
NPI:1144450586
Name:LEONARD, ANN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:LEONARD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3342 CERRITOS AVE APT 234
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2153
Mailing Address - Country:US
Mailing Address - Phone:503-333-9364
Mailing Address - Fax:
Practice Address - Street 1:3342 CERRITOS AVE APT 234
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2153
Practice Address - Country:US
Practice Address - Phone:503-333-9364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR42101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical