Organization Active NPI

Leigh Ann S. Tedesco, LCSW LLC.

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1013039411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00215500 Issued in NJ
Legal business name
LEIGH ANN S. TEDESCO, LCSW LLC.
Practice address
88 Park St
Montclair, NJ 07042-5915
Phone
(973) 857-6157
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Leigh Ann Stagliano Tedesco, LCSW
Title
Owner
Phone
(973) 857-6157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC00215500 NJ Primary

Addresses

Primary practice location

88 Park St
Montclair, NJ 07042-5915

Mailing address

88 Park St
Montclair, NJ 07042-5915
Phone (973) 857-6157

National Provider Directory

National Provider Directory

Locations

88 Park St
Montclair, NJ 07042
Phone (973) 233-9559

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013039411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070425915",
            "telephone_number": "973-857-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070425915",
            "telephone_number": "973-857-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGH ANN S. TEDESCO, LCSW LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAGLIANO TEDESCO",
        "authorized_official_first_name": "LEIGH ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-857-6157",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00215500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.