Provider Demographics
NPI:1790573590
Name:JAFFE, LEIGH LIBLING (LMSW)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:LIBLING
Last Name:JAFFE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 OAK ST
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-2029
Mailing Address - Country:US
Mailing Address - Phone:919-236-3429
Mailing Address - Fax:
Practice Address - Street 1:1698 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5652
Practice Address - Country:US
Practice Address - Phone:919-236-3429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical