Chianti Leak, LCSWA is a
Social Worker - Clinical based in Charlotte, North Carolina. Chianti Leak is licensed to practice in North Carolina (license number P016290) and her current practice location is
100 Billingsley Rd, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 376-7447.
NPI number for Chianti Leak is 1720656630 and her current mailing address is 5820 E W T Harris Blvd Ste 205, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720656630.
Healthcare Provider's Profile
| Full Name | Chianti Leak |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 100 Billingsley Rd, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720656630
- Provider Enumeration Date: 06/16/2021
- Last Update Date: 09/28/2023
Medical Identifiers
Medical identifiers for Chianti Leak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720656630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 28735 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P016290 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chianti Leak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chianti Leak, LCSWA
5820 E W T Harris Blvd Ste 205,
Charlotte, NC 28215-4032
Ph: (704) 469-1243 | Chianti Leak, LCSWA
100 Billingsley Rd,
Charlotte, NC 28211-1002
Ph: (704) 376-7447 |
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