Provider Demographics
NPI:1952098352
Name:GARRITANO, LEORA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LEORA
Middle Name:
Last Name:GARRITANO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:LEORA
Other - Middle Name:
Other - Last Name:NOVEMBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1022 GARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2643
Mailing Address - Country:US
Mailing Address - Phone:412-551-3064
Mailing Address - Fax:
Practice Address - Street 1:440 WEST ST STE 312
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5028
Practice Address - Country:US
Practice Address - Phone:888-242-2732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085297104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker