Healthcare Provider Details

I. General information

NPI: 1396430005
Provider Name (Legal Business Name): DR. LEIGH K WARE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 CLAIRMONT RD
DECATUR GA
30030-1228
US

IV. Provider business mailing address

1123 CLAIRMONT RD
DECATUR GA
30030-1228
US

V. Phone/Fax

Practice location:
  • Phone: 404-383-8745
  • Fax: 404-383-1603
Mailing address:
  • Phone: 404-383-8745
  • Fax: 404-383-1603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW008080
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8610
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: