Provider Demographics
NPI:1316760028
Name:LESKO, TORI K (LSW)
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:K
Last Name:LESKO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 N BEECH ST
Mailing Address - Street 2:
Mailing Address - City:BURNHAM
Mailing Address - State:PA
Mailing Address - Zip Code:17009-1600
Mailing Address - Country:US
Mailing Address - Phone:717-899-0104
Mailing Address - Fax:717-441-8401
Practice Address - Street 1:215 N BEECH ST
Practice Address - Street 2:
Practice Address - City:BURNHAM
Practice Address - State:PA
Practice Address - Zip Code:17009-1600
Practice Address - Country:US
Practice Address - Phone:717-899-0104
Practice Address - Fax:717-441-8401
Is Sole Proprietor?:No
Enumeration Date:2024-11-02
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW141072104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker