Provider Demographics
NPI:1891348439
Name:PERLEWITZ, LEIGHA M (LCSW)
Entity Type:Individual
Prefix:
First Name:LEIGHA
Middle Name:M
Last Name:PERLEWITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LEIGHA
Other - Middle Name:M
Other - Last Name:FIEBELKORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1509 S COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-6152
Mailing Address - Country:US
Mailing Address - Phone:920-722-8150
Mailing Address - Fax:920-722-0142
Practice Address - Street 1:1509 S COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-6152
Practice Address - Country:US
Practice Address - Phone:920-722-8150
Practice Address - Fax:920-722-0142
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI131285-1211041C0700X
WI97111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical