Provider Demographics
NPI:1447335286
Name:SIEMBIEDA, LESLIE CLAIRE (LCSW)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:CLAIRE
Last Name:SIEMBIEDA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LESLIE
Other - Middle Name:SCHARFF
Other - Last Name:SIEMBIEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:116 EL VIENTO
Mailing Address - Street 2:
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-2863
Mailing Address - Country:US
Mailing Address - Phone:805-748-9152
Mailing Address - Fax:
Practice Address - Street 1:118 NEVADA ST
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-2610
Practice Address - Country:US
Practice Address - Phone:805-748-9152
Practice Address - Fax:805-556-0488
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS194251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical