Provider Demographics
NPI:1992173074
Name:LEFF, LESLIE SCHWARTZ (MSS, LCSW)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:SCHWARTZ
Last Name:LEFF
Suffix:
Gender:F
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:SUSAN
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:15 BREWSTER COURT THE CHILDREN'S CLINIC,
Mailing Address - Street 2:CUTCHINS PROGRAMS FOR CHILDREN AND FAMILIES
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:215-870-3609
Mailing Address - Fax:
Practice Address - Street 1:15 BREWSTER COURT THE CHILDREN'S CLINIC,
Practice Address - Street 2:CUTCHINS PROGRAMS FOR CHILDREN AND FAMILIES
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3801
Practice Address - Country:US
Practice Address - Phone:215-870-3609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220941104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker