Healthcare Provider Details

I. General information

NPI: 1720265242
Provider Name (Legal Business Name): LEANDRA KATHERINE GALASSO L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 SUNRISE LN
UPPER SADDLE RIVER NJ
07458-1607
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 Number44SC05388400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: