Provider Demographics
NPI:1073786513
Name:BROUSE, LESLIE ANN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ANN
Last Name:BROUSE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 N CRAIG ST STE 170
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1574
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:412-687-6808
Practice Address - Street 1:155 N CRAIG ST STE 170
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1574
Practice Address - Country:US
Practice Address - Phone:412-687-8700
Practice Address - Fax:412-687-6808
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125851104100000X
PACW0163111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker