Healthcare Provider Details

I. General information

NPI: 1679313621
Provider Name (Legal Business Name): LESLYE MONSERRAT HERRERA HERNANDEZ LCASA / LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 UNIVERSITY DR STE 100
DURHAM NC
27707-6208
US

IV. Provider business mailing address

1209 SOUTHGATE DR
RALEIGH NC
27610-5096
US

V. Phone/Fax

Practice location:
  • Phone: 919-906-4390
  • Fax: 919-287-2707
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020615
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-30069
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: