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

Individual provider Clinical Social Worker · NPI 1093005795

Leslie Jean Quackenbush, LCSW is a Clinical Social Worker in Duluth, Georgia. Licensed in Georgia and North Carolina. Registered with an NPI since 2011.

Licensed in
GA, NC
In the registry since
2011
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3650 Steve Reynolds Blvd Gwinnett Comprehensive Medical Ctr
Duluth, GA 30096-4506
Phone: (919) 764-2000
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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 · Licence CSW005307 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence P004774 (NC)

Record details

NPI number1093005795
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 14, 2011
Last updated in NPPESJanuary 10, 2022

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