Provider Demographics
NPI:1720265242
Name:GALASSO, LEANDRA KATHERINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LEANDRA
Middle Name:KATHERINE
Last Name:GALASSO
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-1607
Mailing Address - Country:US
Mailing Address - Phone:201-370-9478
Mailing Address - Fax:
Practice Address - Street 1:15 SUNRISE LN
Practice Address - Street 2:
Practice Address - City:UPPER SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-1607
Practice Address - Country:US
Practice Address - Phone:201-370-9478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053884001041C0700X
FLSW 88571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW 8857OtherDEPARTMENT OF HEALTH