Provider Demographics
NPI:1609612951
Name:HUNTSINGER, LEAH MARCH (MSW, LSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MARCH
Last Name:HUNTSINGER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-1510
Mailing Address - Country:US
Mailing Address - Phone:505-490-9296
Mailing Address - Fax:
Practice Address - Street 1:21430 LORAIN RD STE 400
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-2148
Practice Address - Country:US
Practice Address - Phone:216-200-8814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-06
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2411076104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker