LISA ANNE LEIDECKER LPC LCADC NPI 1386755122

NPI Information

NPI: 1386755122
Provider Name: LISA ANNE LEIDECKER, LPC, LCADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
51 UPPER MONTCLAIR PLZ
SUITE 21
UPPER MONTCLAIR, NJ
ZIP 07043
Phone: (973) 568-1166
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Lisa Anne Leidecker, LPC, LCADC is an addiction (substance use disorder) counselor in Upper Montclair, NJ. Lisa Anne Leidecker, LPC, LCADC NPI is 1386755122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

51 UPPER MONTCLAIR PLZ
SUITE 21
UPPER MONTCLAIR, NJ
ZIP 07043-343
Phone: (973) 568-1166
Fax: (732) 957-9119

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00057200	NEW JERSEY	Yes
2	101YP2500X	Counselor	Professional	37PC00020000	NEW JERSEY	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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