Provider Demographics
NPI:1427202886
Name:POVIA, LEIGH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:
Last Name:POVIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:609-588-9989
Mailing Address - Fax:
Practice Address - Street 1:CENTER FOR DYNAMIC GROWTH
Practice Address - Street 2:2135 ROUTE 33
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-588-9989
Practice Address - Fax:609-838-7147
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054074001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical