Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lead Freely Licensed Clinical Social Worker Professional Corporation

Organization Clinical Social Worker · NPI 1033053681

Lead Freely Licensed Clinical Social Worker Professional Corporation is a Clinical Social Worker in Birmingham, Alabama. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2008 3rd Ave N
Birmingham, AL 35203-3332
Phone: (205) 899-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1033053681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Walay — Authorized Official · (510) 457-1004
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address3964 Rivermark Plz Ste 2743, Santa Clara, CA 95054-4155

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