National Provider Identifier
Jean Liebenberg, LCSW
Jean Liebenberg, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Watkins Glen, NY and a listed phone number of (607) 535-7217.
Profile Overview
- NPI
- 1144430026
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 22, 2007
- Last Updated
- July 08, 2007
Practice Location
- 109 6Th St
- Watkins Glen, NY 14891-1358
Phone: (607) 535-7217
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1144430026
- Entity Type
- Individual
- Last Name
- Liebenberg
- First Name
- Jean
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 109 6Th St
- Mailing City
- Watkins Glen
- Mailing State
- NY
- Mailing ZIP Code
- 14891-1358
- Mailing Country
- US
- Mailing Phone
- (607) 535-7217
- Practice Street Address
- 109 6Th St
- Practice City
- Watkins Glen
- Practice State
- NY
- Practice ZIP Code
- 14891-1358
- Practice Country
- US
- Practice Phone
- (607) 535-7217
- Enumeration Date
- May 22, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)