MEDICARE: JESSICA LESHAY ESTEP LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	66678	TX

General Provider Information

NPI Number	:	1043850365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LESHAY ESTEP LCSW

Provider Business Mailing Address
First Line	:	1100 NASA PKWY STE 201C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2813
Country	:	US
Telephone Number	:	281-407-0662
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 NASA PKWY STE 201C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2813
Country	:	US
Telephone Number	:	281-407-0662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2020
Last Update Date	:	04/24/2024

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