MEDICARE: MS. LESLIE ANN GERNON 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	1041C0700X	Clinical Social Worker	C004095	NC

General Provider Information

NPI Number	:	1154635738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLIE ANN GERNON LCSW

Provider Business Mailing Address
First Line	:	312 W MILLBROOK RD
Second Line	:	STE 109
City	:	RALEIGH
State	:	NC
Zip	:	27609-4398
Country	:	US
Telephone Number	:	919-845-9977
Fax Number	:	919-845-9761

Provider Business Practice Location Address
First Line	:	312 W MILLBROOK RD STE 109
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-4398
Country	:	US
Telephone Number	:	919-845-9977
Fax Number	:	919-845-9761

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

Provider Enumeration Date	:	08/05/2010
Last Update Date	:	03/17/2018

Similar Medicare Providers

1780516807 — ALETA ALADE LCSW-A
Practice Location Address:

312 W MILLBROOK RD STE 129
RALEIGH, NC
27609-4398

Practice Phone: 919-877-6101
Practice Fax:

1548405798 — CAROLINA COMPREHENSIVE SERVICES, LLC
Practice Location Address:

312 W MILLBROOK RD STE 137
RALEIGH, NC
27609-4398

Practice Phone: 919-847-0550
Practice Fax:

1265672851 — CAROLINA COMPREHENSIVE SERVICE, LLC
Practice Location Address:

312 W MILLBROOK RD STE 137
RALEIGH, NC
27609-4398

Practice Phone: 919-847-0550
Practice Fax: 919-847-0599

1316225501 — FERNANDEZ FAMILIA CLINIC
Practice Location Address:

312 W MILLBROOK RD STE 121
RALEIGH, NC
27609-4398

Practice Phone: 919-926-7503
Practice Fax:

1427536515 — MRS. EZINNE NKECHI UWAKWE MSW, LCSWA
Practice Location Address:

312 W MILLBROOK RD STE 129
RALEIGH, NC
27609-4398

Practice Phone: 919-877-6101
Practice Fax:

1497211130 — MS. TIERRA MARIA BURKETT LCSWA
Practice Location Address:

312 W MILLBROOK RD STE 129
RALEIGH, NC
27609-4398

Practice Phone: 919-877-6101
Practice Fax:

Directions to “ MS. LESLIE ANN GERNON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.