Individual provider Active NPI

Judith Virginia Lelchook, LCSW-C

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1033428065
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
07816 Issued in MD
Practice address
8830 Orchard Tree LN Ste 127
Baltimore, MD 21286-2143
Phone
(443) 632-3606
Fax
(443) 798-7750
NPI assigned
Sep 24, 2010
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 07816 MD Primary

Addresses

Primary practice location

8830 Orchard Tree LN Ste 127
Baltimore, MD 21286-2143

Mailing address

2514 Jamaica Dr
Alexandria, VA 22303-2312
Phone (703) 721-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20160906000577 DC Practitioner - Clinical Social Worker 2163403627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07816MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Foundation, Inc Past Accepting new patients

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1033428065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 JAMAICA DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032312",
            "telephone_number": "703-721-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 ORCHARD TREE LN STE 127",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212862143",
            "telephone_number": "443-632-3606",
            "fax_number": "443-798-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELCHOOK",
        "first_name": "JUDITH",
        "middle_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "07816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.