MEDICARE: LESLIE MICHELLE ALAN, LCSW, LISW-CP, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1598612087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LESLIE MICHELLE ALAN, LCSW, LISW-CP, P.C.

Provider Business Mailing Address
First Line	:	6650 RIVERS AVE STE 100
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-4809
Country	:	US
Telephone Number	:	718-722-1383
Fax Number	:

Provider Business Practice Location Address
First Line	:	6650 RIVERS AVE STE 100
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-4809
Country	:	US
Telephone Number	:	718-722-1383
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LESLIE MICHELLE ALAN
Credential	:	LCSW. LISW-CP
Telephone Number	:	212-287-9301

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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