Provider Demographics
NPI:1992224752
Name:CHERRY, LEASHA J (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LEASHA
Middle Name:J
Last Name:CHERRY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5372 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5044
Mailing Address - Country:US
Mailing Address - Phone:518-253-7602
Mailing Address - Fax:
Practice Address - Street 1:1 ACADEMY PARK
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207-1003
Practice Address - Country:US
Practice Address - Phone:518-475-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool