Organization Active NPI

Leit Psychotherapy LLC

  • Clinical Social Worker
  • Millburn, NJ
National Provider Identifier
1609383348
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05140900 Issued in NJ
Legal business name
LEIT PSYCHOTHERAPY LLC
Practice address
318 Main St Ste 200a
Millburn, NJ 07041-1181
Phone
(201) 207-0376
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Jaclyn P Leit, LCSW
Title
Owner
Phone
(201) 207-0376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05140900 NJ Primary

Addresses

Primary practice location

318 Main St Ste 200a
Millburn, NJ 07041-1181

Mailing address

318 Main St Ste 200a
Millburn, NJ 07041-1181
Phone (201) 207-0376

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1609383348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MAIN ST STE 200A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411181",
            "telephone_number": "201-207-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAIN ST STE 200A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411181",
            "telephone_number": "201-207-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIT PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "LEIT",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-207-0376",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05140900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.