Provider Demographics
NPI:1174984850
Name:WHITE, LEIGH (LICSW)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:STEINMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:34 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5051
Mailing Address - Country:US
Mailing Address - Phone:603-686-8117
Mailing Address - Fax:603-290-5499
Practice Address - Street 1:34 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5051
Practice Address - Country:US
Practice Address - Phone:603-686-8117
Practice Address - Fax:603-290-5499
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-09
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH21311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3113480Medicaid