Leslie D. Heller, M.S.W., L.C.S.W
Individual provider Active NPI Clinical Social Worker · Upper Montclair, NJ
NPI 1649304593 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649304593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC04620600 (NJ)
- Practice address
- 218 Lorraine Ave
Suite 2R
Upper Montclair, NJ 07043-1915 - Phone
- (973) 744-4454
- Fax
- (973) 378-8311
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04620600 | NJ | Yes |
Addresses
Primary practice location
218 Lorraine Ave
Suite 2R
Upper Montclair, NJ 07043-1915
Mailing address
218 Lorraine Ave
Suite 2R
Upper Montclair, NJ 07043-1915
Phone (973) 744-4454
Other providers in Upper Montclair, NJ
- William Michael Gordon
- Marsha L. Grant-Ford
- Renata Hadis
- Lori Ann Harris
- Frances Esther Hecker
- Judith Knox Herschlag
- Anna Mayer Higgins
- Rita Hoenicke
- Amy M Hohn
- Marykate Horrigan
All providers in Upper Montclair, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.