Healthcare Provider Details

I. General information

NPI: 1194640722
Provider Name (Legal Business Name): JAYDEN TAYLOR LESKO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 ANDERSON ROAD
KATONAH NY
10536
US

IV. Provider business mailing address

16 ANDERSON ROAD
KATONAH NY
10536
US

V. Phone/Fax

Practice location:
  • Phone: 914-236-4629
  • Fax:
Mailing address:
  • Phone: 914-236-4629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number132637
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: