Lisa Anne Leidecker, LPC, LCADC - Counselor in Upper Montclair, NJ

Lisa Anne Leidecker, LPC, LCADC is a Counselor - Professional based in Upper Montclair, New Jersey. Lisa Anne Leidecker is licensed to practice in New Jersey (license number 37PC00020000) and her current practice location is 51 Upper Montclair Plz, Suite 21, Upper Montclair, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 568-1166.

NPI number for Lisa Anne Leidecker is 1386755122 and her current mailing address is 13 Clavendon Ct, Middletown, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386755122.

Contact Information

Lisa Anne Leidecker, LPC, LCADC
51 Upper Montclair Plz, Suite 21,
Upper Montclair, NJ 07043-1343
(973) 568-1166
(732) 957-9119

Map and Direction


Healthcare Provider's Profile

Full NameLisa Anne Leidecker
GenderFemale
SpecialityCounselor - Professional
Location51 Upper Montclair Plz, Upper Montclair, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386755122
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Lisa Anne Leidecker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386755122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 37LC00057200 (New Jersey)Primary
101YP2500XCounselor - Professional 37PC00020000 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Anne Leidecker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Anne Leidecker, LPC, LCADC
13 Clavendon Ct,
Middletown, NJ 07748-3533

Ph: (973) 568-1166
Lisa Anne Leidecker, LPC, LCADC
51 Upper Montclair Plz, Suite 21,
Upper Montclair, NJ 07043-1343

Ph: (973) 568-1166

Reviews and Comments


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Phone: 973-783-6977    

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