Provider Demographics
NPI:1245964956
Name:CHAMBERS CAMPBELL, LEANDRA ROSE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LEANDRA
Middle Name:ROSE
Last Name:CHAMBERS CAMPBELL
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 1:1825 PALM COVE BLVD APT 106
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6778
Mailing Address - Country:US
Mailing Address - Phone:954-593-1936
Mailing Address - Fax:
Practice Address - Street 1:550 SE 6TH AVE # 200
Practice Address - Street 2:
Practice Address - City:DEL RAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483
Practice Address - Country:US
Practice Address - Phone:415-403-2156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW201591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical