Provider Demographics
NPI:1700079993
Name:ZILBERLEYT, LIESE M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LIESE
Middle Name:M
Last Name:ZILBERLEYT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LIESE
Other - Middle Name:M
Other - Last Name:MITTIGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 1128
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14231-1128
Mailing Address - Country:US
Mailing Address - Phone:917-929-4182
Mailing Address - Fax:
Practice Address - Street 1:28 COACHMENS CT
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1712
Practice Address - Country:US
Practice Address - Phone:917-929-4182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0766471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical