Provider Demographics
NPI:1205097300
Name:LEITERMAN, HANNAH C (MA, LCSW)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:C
Last Name:LEITERMAN
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Gender:F
Credentials:MA, LCSW
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Mailing Address - Street 1:114 BOSTON POST RD
Mailing Address - Street 2:ERRERA COMMUNITY CARE CENTER
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-2043
Mailing Address - Country:US
Mailing Address - Phone:203-479-8031
Mailing Address - Fax:203-479-8031
Practice Address - Street 1:114 BOSTON POST RD
Practice Address - Street 2:ERRERA COMMUNITY CARE CENTER
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-2043
Practice Address - Country:US
Practice Address - Phone:203-479-8031
Practice Address - Fax:203-479-8001
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0067781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical