Individual provider · Type 1 NPI

Shane Leach, LCSW

Clinical Social Worker · Glendale, WI

NPI number 1861332827 Active

Practice location

5555 N Port Washington Rd Ste 200
Glendale, WI 53217-4927

Call (262) 999-3495 Map

Fax (262) 821-6180

Other practice locations

  • 5650 N Green Bay Ave Ste 205, Glendale, WI 53209-4446 · (855) 914-2881

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12713-123 (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 1861332827

Shane Leach, LCSW's National Provider Identifier is 1861332827, issued on Mar 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, WI. The record was last updated on May 5, 2026.