Leia Fontana, LCSW

Individual provider Active NPI Clinical Social Worker · Andover, NJ

NPI 1649955907 · NPPES record last updated Jun 15, 2023

Key facts

NPI
1649955907
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05829500 (NJ)
Practice address
33 Kennedy Rd
Ste 33a
Andover, NJ 07821
Phone
(908) 914-7866
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
44SC05829500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Human First Counseling Services Current
since Jun 18, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05829500 NJ Yes

Addresses

Primary practice location

33 Kennedy Rd
Ste 33a
Andover, NJ 07821

Mailing address

PO Box 129
Tranquility, NJ 07879-0129
Phone (973) 600-5262

Other providers in Andover, NJ

All providers in Andover, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.