Individual provider Active NPI

Lashawnda Allthea Leslie-Butler

  • Social Worker
  • Salisbury, MD
National Provider Identifier
1003316332
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19005 Issued in MD
Practice address
821 Eastern Shore Dr
Salisbury, MD 21804-5943
Phone
(844) 224-5264
NPI assigned
Feb 13, 2018
Last updated
Feb 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19005 MD Primary

Addresses

Primary practice location

821 Eastern Shore Dr
Salisbury, MD 21804-5943

Mailing address

821 Eastern Shore Dr
Salisbury, MD 21804-5943
Phone (844) 224-5264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424000240 MD Practitioner - Clinical Social Worker 7416299474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

426 Dorchester Ave
Cambridge, MD 21613-2446
Phone (844) 224-5264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health LLC CurrentSince Aug 9, 2021 Accepting new patients

Locations

426 Dorchester Ave
Cambridge, MD 21613
Phone (410) 228-3929

10774 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 992-7288

8614 Ocean Gtwy
Easton, MD 21601
Phone 41069033572690

106 Lee St
Salisbury, MD 21804

817 Eastern Shore Dr
Salisbury, MD 21804

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1003316332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045943",
            "telephone_number": "844-224-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045943",
            "telephone_number": "844-224-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE-BUTLER",
        "first_name": "LASHAWNDA",
        "middle_name": "ALLTHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.