MEDICARE: KAREN LECLAIRE MS, LSW, LPC, LMHC

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	104100000X	Social Worker	310712	MA
2	101YP2500X	Professional Counselor	CP2871-R	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841522794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN LECLAIRE MS, LSW, LPC, LMHC

Provider Business Mailing Address
First Line	:	9 BITTERSWEET DR
Second Line	:
City	:	PLAISTOW
State	:	NH
Zip	:	03865-2902
Country	:	US
Telephone Number	:	978-521-7777
Fax Number	:	978-521-7767

Provider Business Practice Location Address
First Line	:	400 S 4TH ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6201
Country	:	US
Telephone Number	:	888-879-9786
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	03/08/2021

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