Provider Demographics
NPI:1417675083
Name:LEIGH POLIN LCSW LLC
Entity Type:Organization
Organization Name:LEIGH POLIN LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:POLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:848-207-4670
Mailing Address - Street 1:92 CENTRAL AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1862
Mailing Address - Country:US
Mailing Address - Phone:848-207-4670
Mailing Address - Fax:848-205-1024
Practice Address - Street 1:499 MAIN ST FL 2
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1464
Practice Address - Country:US
Practice Address - Phone:848-207-4670
Practice Address - Fax:848-205-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)