Individual provider Active NPI

Leslieann C Williams, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Kensington, MD
National Provider Identifier
1003356254
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05880 Issued in MD
Practice address
3620 Littledale Rd
Kensington, MD 20895-3424
Phone
(540) 219-6238
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 05880 MD Primary

Addresses

Primary practice location

3620 Littledale Rd
Kensington, MD 20895-3424

Mailing address

9803 Mahogany Dr Apt 305
Gaithersburg, MD 20878-4633
Phone (540) 219-6238

Other practice location 1

9803 Mahogany Dr Apt 305
Gaithersburg, MD 20878-4633
Phone (240) 650-6521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211230000835 DC Practitioner - Qualified Speech Language Pathologist 4385035377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9803 Mahogany Dr
Apt 305
Gaithersburg, MD 20878-4633
Phone (240) 650-6521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
05880MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Speech LLC Speech-Language Pathologist CurrentSince Dec 21, 2021 Accepting new patients

Locations

325 Ellington Blvd
Gaithersburg, MD 20878
Phone (240) 428-0465

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1003356254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9803 MAHOGANY DR APT 305",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784633",
            "telephone_number": "540-219-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LITTLEDALE RD",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953424",
            "telephone_number": "540-219-6238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9803 Mahogany Dr Apt 305",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208784633",
            "country_code": "US",
            "telephone_number": "240-650-6521",
            "fax_number": "888-809-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LESLIEANN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-06-22",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.