Provider Demographics
NPI:1124181581
Name:LEONARD-DRESSLER, CATHY S (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:S
Last Name:LEONARD-DRESSLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:S
Other - Last Name:DRESSLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:427 NEW KARNER RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205
Mailing Address - Country:US
Mailing Address - Phone:518-869-1078
Mailing Address - Fax:518-452-6459
Practice Address - Street 1:427 NEW KARNER RD
Practice Address - Street 2:SUITE 8
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205
Practice Address - Country:US
Practice Address - Phone:518-869-1078
Practice Address - Fax:518-452-6459
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR04940211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0004999002OtherBLUE CROSS OF NORTHEAST
NY7331433OtherEMPIRE PLAN
NY02055118Medicaid
NY618502OtherMVP
NY256436OtherCDPMP VALUE OPTIONS
NYBB3724Medicare ID - Type Unspecified