Healthcare Provider Details

I. General information

NPI: 1447164397
Provider Name (Legal Business Name): LEAH DIGIANNI, LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 REDWOOD LN
SMITHTOWN NY
11787-2718
US

IV. Provider business mailing address

21 REDWOOD LN
SMITHTOWN NY
11787-2718
US

V. Phone/Fax

Practice location:
  • Phone: 631-672-0642
  • Fax:
Mailing address:
  • Phone: 631-343-5640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LEAH DIGIANNI
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 631-343-5640