Provider Demographics
NPI:1649444076
Name:DEUTSCH, LESLIE KAREN (LCSW)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:KAREN
Last Name:DEUTSCH
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 1:875 HERITAGE HLS # A
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-3111
Mailing Address - Country:US
Mailing Address - Phone:917-903-9327
Mailing Address - Fax:
Practice Address - Street 1:875 HERITAGE HLS # A
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3111
Practice Address - Country:US
Practice Address - Phone:917-903-9327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO3288611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN71291Medicare PIN