Provider Demographics
NPI:1972557262
Name:BELL, LESLIE A (LCSW)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:A
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55725 E 273 RD
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:OK
Mailing Address - Zip Code:74331-2721
Mailing Address - Country:US
Mailing Address - Phone:405-833-3683
Mailing Address - Fax:
Practice Address - Street 1:55725 E 273 RD
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:OK
Practice Address - Zip Code:74331-2721
Practice Address - Country:US
Practice Address - Phone:405-833-3683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2025-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK400522494Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER