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

Leslie K Gannon

Individual provider Clinical Social Worker · NPI 1316295272

Leslie K Gannon is a Clinical Social Worker in Whitefish Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012

Practice location Address checks out

5573 N Diversey Blvd
Whitefish Bay, WI 53217-5202
Phone: (414) 526-7622
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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 7490-123 (WI)

Record details

NPI number1316295272
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2012
Last updated in NPPESAugust 27, 2012
Mailing address5573 N Diversey Blvd, Whitefish Bay, WI 53217-5202

Other providers in Whitefish Bay