Leslie Mader LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LESLIE MADER LLC

Practice address

623 River Rd
Suite 2G
Fair Haven, NJ 07704-3200

Phone

(732) 299-0098

Fax

(732) 865-7744

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Leslie A Mader

Title

LCSW

Phone

(732) 299-0098

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1508310897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 RIVER RD",
            "address_2": "SUITE 2G",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043200",
            "telephone_number": "732-299-0098",
            "fax_number": "732-865-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 RIVER RD",
            "address_2": "SUITE 2G",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043200",
            "telephone_number": "732-299-0098",
            "fax_number": "732-865-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE MADER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "MADER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "732-299-0098"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Fair Haven, NJ
• Providers in Fair Haven, 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 Aug 4, 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.