Active NPI
Victoria Leizer
- Clinical Social Worker
- Hagerstown, MD
National Provider Identifier
1013575398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5 Public SQ # 428
Hagerstown, MD 21740-5528 - Phone
- (301) 514-3960
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5 Public SQ # 428
Hagerstown, MD 21740-5528
Mailing address
5 Public SQ # 428
Hagerstown, MD 21740-5528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14648 | Other | MD | PRIVATE PRACTICE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | victoria@willowtreecounseling.center | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1013575398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PUBLIC SQ # 428",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PUBLIC SQ # 428",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405528",
"telephone_number": "301-514-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIZER",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PRACTICE",
"identifier": "14648",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "victoria@willowtreecounseling.center",
"affiliation": "N",
"endpointDescription": "Private Practice",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5 Public Sq # 428",
"city": "Hagerstown",
"state": "MD",
"country_code": "US",
"postal_code": "217405528",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.