Basic Information
| Provider Information | |||||||||
| NPI: | 1043965809 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCGRATH | ||||||||
| FirstName: | LEAH | ||||||||
| MiddleName: | LAWSON | ||||||||
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| Credential: | LCSWA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 151 MINPIN DR | ||||||||
| Address2: | |||||||||
| City: | WAYNESVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287869523 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285069990 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 TEPTAL TER | ||||||||
| Address2: | |||||||||
| City: | BRYSON CITY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287135479 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284883294 | ||||||||
| FaxNumber: | 8284880907 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2022 | ||||||||
| LastUpdateDate: | 02/19/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | P017303 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.