Provider Demographics
NPI:1023073244
Name:LEFF, MERRIANNE MOSS (LCSW LISW)
Entity type:Individual
Prefix:MRS
First Name:MERRIANNE
Middle Name:MOSS
Last Name:LEFF
Suffix:
Gender:F
Credentials:LCSW LISW
Other - Prefix:MRS
Other - First Name:MERRIANNE
Other - Middle Name:MOSS
Other - Last Name:BERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:5558 DARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1508
Mailing Address - Country:US
Mailing Address - Phone:336-314-0829
Mailing Address - Fax:336-288-9900
Practice Address - Street 1:1 CRAB TREE CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-3427
Practice Address - Country:US
Practice Address - Phone:336-314-0829
Practice Address - Fax:336-288-9900
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC005177104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106379Medicaid
NC2875024Medicare ID - Type Unspecified