Individual provider Active NPI

Leah Emma Halka, LSW

  • Clinical Social Worker
  • Fair Lawn, NJ
National Provider Identifier
1417386780
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05687200 Issued in NJ
Practice address
17-07 Romaine St
Fair Lawn, NJ 07410-2150
Phone
(201) 796-9482
Fax
(201) 796-3617
NPI assigned
Nov 6, 2013
Last updated
Aug 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05817100 NJ
Clinical Social Worker 1041C0700X 44SC05687200 NJ Primary

Addresses

Primary practice location

17-07 Romaine St
Fair Lawn, NJ 07410-2150

Mailing address

17-07 Romaine St
Fair Lawn, NJ 07410-2150
Phone (201) 796-9482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05817100NJMDSocial Worker
44SC05687200NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1417386780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-07 ROMAINE ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102150",
            "telephone_number": "201-796-9482",
            "fax_number": "201-796-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-07 ROMAINE ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102150",
            "telephone_number": "201-796-9482",
            "fax_number": "201-796-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALKA",
        "first_name": "LEAH",
        "middle_name": "EMMA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05817100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05687200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.