Provider Demographics
NPI:1871043661
Name:SILVERSTEIN, LEAH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:
Last Name:SILVERSTEIN
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 1:200 TRILLIUM LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3818
Mailing Address - Country:US
Mailing Address - Phone:518-501-1769
Mailing Address - Fax:518-706-4294
Practice Address - Street 1:200 TRILLIUM LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3818
Practice Address - Country:US
Practice Address - Phone:518-501-1769
Practice Address - Fax:518-706-4294
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-05
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
NY0903951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty