Healthcare Provider Details

I. General information

NPI: 1225965668
Provider Name (Legal Business Name): LIFSHA LEIFER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 LEE AVE APT 4
BROOKLYN NY
11206-8185
US

IV. Provider business mailing address

217 LEE AVE APT 4
BROOKLYN NY
11206-8185
US

V. Phone/Fax

Practice location:
  • Phone: 347-918-7707
  • Fax:
Mailing address:
  • Phone: 347-918-7707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: