MEDICARE: MRS. SHARONN LEIGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC06333300	NJ
2	1041C0700X	Clinical Social Worker	CW027192	PA

General Provider Information

NPI Number	:	1295610939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARONN LEIGH

Provider Business Mailing Address
First Line	:	532 MARLTON PIKE W
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-2075
Country	:	US
Telephone Number	:	862-390-2916
Fax Number	:

Provider Business Practice Location Address
First Line	:	143 GARFIELD AVE
Second Line	:
City	:	CLEMENTON
State	:	NJ
Zip	:	08021-3933
Country	:	US
Telephone Number	:	862-390-2916
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	03/04/2026

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Directions to “ MRS. SHARONN LEIGH ” Practice Location

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