Provider Demographics
NPI:1093535528
Name:LIEFF, TZIPORAH (LCSW,MSW)
Entity type:Individual
Prefix:
First Name:TZIPORAH
Middle Name:
Last Name:LIEFF
Suffix:
Gender:F
Credentials:LCSW,MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14441 BALFOUR ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1324
Mailing Address - Country:US
Mailing Address - Phone:732-801-3954
Mailing Address - Fax:
Practice Address - Street 1:14441 BALFOUR ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1324
Practice Address - Country:US
Practice Address - Phone:732-801-3954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker