Provider Demographics
NPI:1730265984
Name:LEEPER, KATHY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:
Last Name:LEEPER
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 1:113 SAMPLE LN
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-3401
Mailing Address - Country:US
Mailing Address - Phone:412-475-0024
Mailing Address - Fax:
Practice Address - Street 1:113 SAMPLE LN
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-3401
Practice Address - Country:US
Practice Address - Phone:412-475-0024
Practice Address - Fax:412-653-7828
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00014031041C0700X
PACW0144981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1325167OtherHIGHMARK
PA265511000OtherMAGELLAN
PA342129OtherMHN/TRICARE
PA342129OtherMHN/TRICARE