Individual provider · Type 1 NPI

Tabitha Marie Leque, LCSW

Clinical Social Worker · Fond Du Lac, WI

NPI number 1346928710 Active

Practice location

N5682 County Road K
Fond Du Lac, WI 54937-7908

Call (877) 300-9101 Map

Mailing address

1120 Michigan Ave
North Fond Du Lac, WI 54937-1136

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X134414-121 (WI)
Clinical Social Worker Primary 1041C0700X12216-123 (WI)

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 1346928710

Tabitha Marie Leque, LCSW's National Provider Identifier is 1346928710, issued on Jul 6, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fond Du Lac, WI. The record was last updated on Oct 26, 2026.