Provider Demographics
NPI:1487443354
Name:LESZCZYNSKI, SAMANTHA (LAC)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:
Last Name:LESZCZYNSKI
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 RACHEL TER APT 8
Mailing Address - Street 2:
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9675
Mailing Address - Country:US
Mailing Address - Phone:973-248-5606
Mailing Address - Fax:
Practice Address - Street 1:205 SHADY LN
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2718
Practice Address - Country:US
Practice Address - Phone:856-363-0867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00819200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health