Provider Demographics
NPI:1356326144
Name:FELSHER, LESLIE GISELLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:GISELLE
Last Name:FELSHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22A WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560-2802
Mailing Address - Country:US
Mailing Address - Phone:917-403-6625
Mailing Address - Fax:
Practice Address - Street 1:22A WHEELER RD
Practice Address - Street 2:
Practice Address - City:NORTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10560-2802
Practice Address - Country:US
Practice Address - Phone:917-403-6625
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR02615711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
06872OtherGHI MEDICARE
N39842Medicare ID - Type Unspecified