Individual provider Active NPI

Leslie S Rawlings, ACSW-R,LCSW

  • Counselor
  • Upper Montclair, NJ
National Provider Identifier
1073724316
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
046323 Issued in NY
Practice address
51 Upper Montclair PLZ
Room 16
Upper Montclair, NJ 07043-1343
Phone
(973) 509-1910
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 046323 NY Primary
Clinical Social Worker 1041C0700X 44SC05174400 NJ
Addiction (Substance Use Disorder) Counselor 101YA0400X NY

Addresses

Primary practice location

51 Upper Montclair PLZ
Room 16
Upper Montclair, NJ 07043-1343

Mailing address

51 Upper Montclair PLZ
Room 16
Upper Montclair, NJ 07043-1343
Phone (973) 509-1910

Other identifiers 1

IdentifierTypeStateIssuer
180566OtherNJMEDICARE ID

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1073724316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ",
            "address_2": "ROOM 16",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431343",
            "telephone_number": "973-509-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ",
            "address_2": "ROOM 16",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431343",
            "telephone_number": "973-509-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINGS",
        "first_name": "LESLIE",
        "middle_name": "S",
        "credential": "ACSW-R,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "046323",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05174400",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "180566",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.