Provider Demographics
NPI:1114131950
Name:LEASURE, CHRIS E (LSW)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:E
Last Name:LEASURE
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 1:121 STAMM AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-2129
Mailing Address - Country:US
Mailing Address - Phone:412-638-4712
Mailing Address - Fax:
Practice Address - Street 1:400 N LEXINGTON AVE BLDG 500
Practice Address - Street 2:COMMUNITY EMPOWERMENT ASSOCIATION
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2561
Practice Address - Country:US
Practice Address - Phone:412-371-3689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW013670104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker