Healthcare Provider Details

I. General information

NPI: 1215736509
Provider Name (Legal Business Name): LEANDRA GALASSO, LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 GODWIN AVE
MIDLAND PARK NJ
07432-1519
US

IV. Provider business mailing address

15 SUNRISE LN
UPPER SADDLE RIVER NJ
07458-1607
US

V. Phone/Fax

Practice location:
  • Phone: 201-370-9478
  • Fax:
Mailing address:
  • Phone: 201-370-9478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LEANDRA KATHERINE GALASSO
Title or Position: DIRECTOR OF BEHAVIORAL HEALTH
Credential: LCSW
Phone: 201-370-9478