Provider Demographics
NPI:1902617962
Name:LEDER-BOOKSPAN, CLAUDIA JOYCE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:JOYCE
Last Name:LEDER-BOOKSPAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 MIX AVE APT T6
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2151
Mailing Address - Country:US
Mailing Address - Phone:203-913-1562
Mailing Address - Fax:
Practice Address - Street 1:835 MIX AVE APT T6
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-2151
Practice Address - Country:US
Practice Address - Phone:203-913-1562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR042503-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical