Provider Demographics
NPI:1124242847
Name:GOLDMAN-HAMMER, LEIGH S (LCSW)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:S
Last Name:GOLDMAN-HAMMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LEIGH
Other - Middle Name:S
Other - Last Name:GOLDMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:80 SCENIC DRIVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5211
Mailing Address - Country:US
Mailing Address - Phone:609-795-1222
Mailing Address - Fax:
Practice Address - Street 1:80 SCENIC DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5211
Practice Address - Country:US
Practice Address - Phone:609-795-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ7419431041S0200X
NJ44SC054739001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool