Provider Demographics
NPI:1013098789
Name:MESKIN, LESLIE ANDREA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:ANDREA
Last Name:MESKIN
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 1:165 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-1508
Mailing Address - Country:US
Mailing Address - Phone:973-983-8339
Mailing Address - Fax:
Practice Address - Street 1:70 SPARTA AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1760
Practice Address - Country:US
Practice Address - Phone:973-726-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC433571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical