Provider Demographics
NPI:1649347204
Name:LEAFFER, BARBARA (MSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:LEAFFER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:BASIA
Other - Middle Name:
Other - Last Name:LEAFFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2534 JUDAH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1438
Mailing Address - Country:US
Mailing Address - Phone:415-449-2900
Mailing Address - Fax:415-449-2901
Practice Address - Street 1:2534 JUDAH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1438
Practice Address - Country:US
Practice Address - Phone:415-449-2900
Practice Address - Fax:415-449-2901
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA221111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABV214ZMedicare PIN