Provider Demographics
NPI:1851692842
Name:LEFF, GRETHEL (ASW)
Entity Type:Individual
Prefix:MRS
First Name:GRETHEL
Middle Name:
Last Name:LEFF
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MRS
Other - First Name:GRETHEL
Other - Middle Name:
Other - Last Name:LEFF-MOJICA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:5354 CASE AVE
Mailing Address - Street 2:# 920
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-8019
Mailing Address - Country:US
Mailing Address - Phone:925-895-2661
Mailing Address - Fax:
Practice Address - Street 1:5354 CASE AVE
Practice Address - Street 2:# 920
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-8019
Practice Address - Country:US
Practice Address - Phone:925-895-2661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA289741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical