Healthcare Provider Details

I. General information

NPI: 1366954158
Provider Name (Legal Business Name): LEAH ZUROFF LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 1/2 S MERRILL AVE STE 6
GLENDIVE MT
59330-1669
US

IV. Provider business mailing address

PO BOX 503
GLENDIVE MT
59330-0503
US

V. Phone/Fax

Practice location:
  • Phone: 406-672-9769
  • Fax: 406-272-3407
Mailing address:
  • Phone: 406-939-3541
  • Fax: 406-272-3407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-LCSW-LIC-26000
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: