Individual
LESLIE S RAWLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW-R,LCSW
Contact information
Practice address
51 UPPER MONTCLAIR PLZ, ROOM 16, UPPER MONTCLAIR, NJ 07043-1343
(973) 509-1910
Mailing address
51 UPPER MONTCLAIR PLZ, ROOM 16, UPPER MONTCLAIR, NJ 07043-1343
(973) 509-1910
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
046323
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NY
1041C0700X
Clinical Social Worker
44SC05174400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180566
MEDICARE ID
NJ
Enumeration date
05/25/2007
Last updated
08/13/2010
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