Provider Demographics
NPI:1548338957
Name:LEIGHTON, CHARLES (LCSW)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:
Last Name:LEIGHTON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 CAREY AVE.
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BUTTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405
Mailing Address - Country:US
Mailing Address - Phone:973-527-4410
Mailing Address - Fax:973-527-4409
Practice Address - Street 1:44 ROUTE 23 NORTH
Practice Address - Street 2:SUITE 3
Practice Address - City:RIVERDALE
Practice Address - State:NJ
Practice Address - Zip Code:07457-0003
Practice Address - Country:US
Practice Address - Phone:973-851-5095
Practice Address - Fax:973-305-5902
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical