Provider Demographics
NPI:1508980616
Name:LEEDS, BARBARA (CSW, BCD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LEEDS
Suffix:
Gender:F
Credentials:CSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 E 37TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3063
Mailing Address - Country:US
Mailing Address - Phone:212-532-1577
Mailing Address - Fax:914-637-0788
Practice Address - Street 1:117 E 37TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3063
Practice Address - Country:US
Practice Address - Phone:212-532-1577
Practice Address - Fax:914-637-0788
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022997-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical