=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043965809
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LEAH LAWSON MCGRATH LCSW, LCAS-A
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2022
-----------------------------------------------------
Last Update Date | 10/24/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 91 TIMBERLANE RD
-----------------------------------------------------
City | WAYNESVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28786-7927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-445-4109
-----------------------------------------------------
Fax | 828-488-0907
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 151 MINPIN DR
-----------------------------------------------------
City | WAYNESVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28786-9523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-506-9990
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | LCAS-29438
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | C017183
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------