Provider Demographics
NPI:1235677311
Name:FOSTER, LEAH S (LCSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:S
Last Name:FOSTER
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 1:643 MAGAZINE ST.
Mailing Address - Street 2:STE 304
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130
Mailing Address - Country:US
Mailing Address - Phone:504-355-0509
Mailing Address - Fax:504-355-0508
Practice Address - Street 1:643 MAGAZINE ST.
Practice Address - Street 2:STE 304
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130
Practice Address - Country:US
Practice Address - Phone:504-355-0509
Practice Address - Fax:504-355-0508
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA108141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical