Provider Demographics
NPI:1861897100
Name:DUNCAN, LESLIE M (MSW, LCSWA)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:M
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:B
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:CALLER BOX C-268
Mailing Address - Street 2:1 HOSPITAL ROAD
Mailing Address - City:CHEROKEE
Mailing Address - State:NC
Mailing Address - Zip Code:28719-9253
Mailing Address - Country:US
Mailing Address - Phone:828-497-9163
Mailing Address - Fax:828-497-1723
Practice Address - Street 1:375 SEQUOYAH TRL
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:NC
Practice Address - Zip Code:28719
Practice Address - Country:US
Practice Address - Phone:828-497-6892
Practice Address - Fax:828-497-6977
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0090691041C0700X
NCC0106521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1861897100Medicaid
NCP009069OtherNC LICENCE
NC19A56OtherBCBS
NCC101652OtherLCSW LICENSE
NC1861897100Medicaid