Individual provider · Type 1 NPI

Leslie Jean Quackenbush, LCSW

Clinical Social Worker · Duluth, GA

NPI number 1093005795 Active

Practice location

3650 Steve Reynolds Blvd, Gwinnett Comprehensive Medical Center
Duluth, GA 30096-4506

Call (919) 764-2000 Map

Mailing address

3495 Piedmont Rd NE, Nine Piedmont Center
Atlanta, GA 30305-1717

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP004774 (NC)
Clinical Social Worker Primary 1041C0700XCSW005307 (GA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1093005795

Leslie Jean Quackenbush, LCSW's National Provider Identifier is 1093005795, issued on Apr 14, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Duluth, GA. The record was last updated on Jan 10, 2022.