Healthcare Provider Details

I. General information

NPI: 1881378313
Provider Name (Legal Business Name): LEIGH HANNA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S MERAMEC AVE STE 205
CLAYTON MO
63105-3511
US

IV. Provider business mailing address

4440 LINDELL BLVD APT 902
SAINT LOUIS MO
63108-2437
US

V. Phone/Fax

Practice location:
  • Phone: 314-276-6953
  • Fax:
Mailing address:
  • Phone: 314-276-6953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2015037533
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: