Individual provider · Type 1 NPI

Leanette Henagan, DBH. LCSW, LISAC

Clinical Social Worker · Phoenix, AZ

NPI number 1811355118 Active

Practice location

3039 W Peoria Ave, Ste 102-429
Phoenix, AZ 85029-5212

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC-11452 (AZ)
Clinical Social Worker Primary 1041C0700XLCSW-13621 (AZ)

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 1811355118

Leanette Henagan, DBH. LCSW, LISAC's National Provider Identifier is 1811355118, issued on Feb 2, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 3, 2020.