Provider Demographics
NPI:1891850715
Name:OSTERAAS, LEENA K (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LEENA
Middle Name:K
Last Name:OSTERAAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LEENA
Other - Middle Name:
Other - Last Name:KITZBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3968 RHODA AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-3439
Mailing Address - Country:US
Mailing Address - Phone:415-235-2156
Mailing Address - Fax:
Practice Address - Street 1:3628 SACRAMENTO ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1729
Practice Address - Country:US
Practice Address - Phone:415-235-2156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS200221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical