# LESLIE SIEBERT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629489778
- **Gender:** F
- **Credential:** MSW, LSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | SW004564E | PA | Yes |

## Other

- **Enumeration date:** 05/12/2014
- **Last updated:** 03/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104107910 | — | PA |
| 01 | — | 12698709 | CAQH ID | PA |