National Provider Identifier
Leslie Bode, MSW
Leslie Bode, MSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1295277051
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 10, 2016
- Last Updated
- June 16, 2021
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Mailing Address
- 207 Cleveland Ave
- Ithaca, NY 14850-5203
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1295277051
- Entity Type
- Individual
- Last Name
- Bode
- First Name
- Leslie
- Credential
- MSW
- Mailing Street Address
- 207 Cleveland Ave
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5203
- Mailing Country
- US
- Mailing Phone
- (607) 280-6347
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- November 10, 2016
- Last Updated
- June 16, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 16, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)