Healthcare Provider Details

I. General information

NPI: 1730265984
Provider Name (Legal Business Name): KATHY LEEPER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/30/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 SAMPLE LN
CRANBERRY TOWNSHIP PA
16066-3401
US

IV. Provider business mailing address

113 SAMPLE LN
CRANBERRY TOWNSHIP PA
16066-3401
US

V. Phone/Fax

Practice location:
  • Phone: 412-475-0024
  • Fax: 412-653-7828
Mailing address:
  • Phone: 412-475-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0001403
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW014498
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1325167
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK
# 2
Identifier265511000
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMAGELLAN
# 3
Identifier342129
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMHN/TRICARE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: