Provider Demographics
NPI:1326118399
Name:BARZELL-WEBER, LEORA Y (LCSW)
Entity Type:Individual
Prefix:
First Name:LEORA
Middle Name:Y
Last Name:BARZELL-WEBER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LEORA
Other - Middle Name:Y
Other - Last Name:EISENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 1768
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94604-1768
Mailing Address - Country:US
Mailing Address - Phone:510-268-4289
Mailing Address - Fax:
Practice Address - Street 1:250 BON AIR RD
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1702
Practice Address - Country:US
Practice Address - Phone:415-499-6830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 206561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical