Leigh W. Gocklin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06309800 Issued in NJ

Practice address

10 Anawa Rd
Highland Lakes, NJ 07422-1410

Phone

(203) 364-7443

NPI assigned

Aug 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leigh Windsor Snellback Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1285247106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ANAWA RD",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074221410",
            "telephone_number": "203-364-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ANAWA RD",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074221410",
            "telephone_number": "203-364-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCKLIN",
        "first_name": "LEIGH",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06309800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "SNELLBACK",
            "middle_name": "WINDSOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Highland Lakes, NJ
• Providers in Highland Lakes, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.