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General NPI Number Information
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NPI Number | 1679313621
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Entity Type | Individual
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Provider Name | LESLYE MONSERRAT HERRERA HERNANDEZ LCASA / LCSWA
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Gender | Female
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3710 UNIVERSITY DR STE 100
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City | DURHAM
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State | NC
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Zip | 27707-6208
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Country | US
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Telephone | 919-906-4390
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Fax | 919-287-2707
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Provider Business Mailing Address
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Address Line | 1209 SOUTHGATE DR
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City | RALEIGH
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State | NC
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Zip | 27610-5096
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P020615
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-30069
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License Number State | NC
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