Provider Demographics
NPI:1265186019
Name:LEVERING, LEANN REYNOLDS (MSW)
Entity type:Individual
Prefix:MS
First Name:LEANN
Middle Name:REYNOLDS
Last Name:LEVERING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15618 STAFFORDSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-3056
Mailing Address - Country:US
Mailing Address - Phone:512-710-8271
Mailing Address - Fax:
Practice Address - Street 1:600 ROUND ROCK WEST DR STE 606
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5005
Practice Address - Country:US
Practice Address - Phone:512-921-9022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106952104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker