Provider Demographics
NPI:1073727582
Name:KAIZER, LEAH (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:
Last Name:KAIZER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:K. LEAH
Other - Middle Name:
Other - Last Name:KAIZER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:5625 COLLEGE AVE STE 210C
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1599
Mailing Address - Country:US
Mailing Address - Phone:510-658-1601
Mailing Address - Fax:510-658-9084
Practice Address - Street 1:5625 COLLEGE AVE STE 210C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1599
Practice Address - Country:US
Practice Address - Phone:510-658-1601
Practice Address - Fax:510-658-9084
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS98161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical