Provider Demographics
NPI:1902494529
Name:LINDA J. LEONARD LCSW LLC
Entity Type:Organization
Organization Name:LINDA J. LEONARD LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-618-9571
Mailing Address - Street 1:PO BOX 774
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-0774
Mailing Address - Country:US
Mailing Address - Phone:609-618-9571
Mailing Address - Fax:609-698-2616
Practice Address - Street 1:8 JAMES HOLLOW DR
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-1805
Practice Address - Country:US
Practice Address - Phone:609-618-9571
Practice Address - Fax:609-698-2616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty