Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Leslie Tara Nicholson, LSW

Individual provider Social Worker · NPI 1669291373

Miss. Leslie Tara Nicholson, LSW is a Social Worker in Mountainside, New Jersey. Licensed in New Jersey. Registered with an NPI since 2024.

Licensed in
NJ
In the registry since
2024
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1139 Spruce Dr
Mountainside, NJ 07092-2221
Phone: (908) 731-7099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL06854400 (NJ)

Record details

NPI number1669291373
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedOctober 9, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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