Provider Demographics
NPI:1568934479
Name:O'LEARY, LEE ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LEE ANN
Middle Name:
Last Name:O'LEARY
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 1:376 MAIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-2591
Mailing Address - Country:US
Mailing Address - Phone:908-300-6808
Mailing Address - Fax:
Practice Address - Street 1:376 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-2591
Practice Address - Country:US
Practice Address - Phone:908-300-6808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-18
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05754700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional