Leslie Clarke, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20639 Issued in MD

Practice address

4401 E West Hwy Ste 300
Bethesda, MD 20814-4538

Phone

(301) 646-1298

NPI assigned

Mar 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Barbara Kane, LCSW-C, LLC

  • Mental Health Counselor
  • Bethesda, MD
  • NPI 1447979505
  NPD (past)

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1104241934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144538",
            "telephone_number": "301-657-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144538",
            "telephone_number": "301-646-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "467 Creamery Way",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412508",
            "country_code": "US",
            "telephone_number": "610-363-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "LESLIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20639",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1770529869",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Mairi Clark, MD
• Nancy Claire Clark, M.D.
• Paul Albert Clark, D.O.
• Ashley Jean Clarke, MS, OTR/L
• Kenneth Clarke
• Patricia W Clausen, FNP
• Clavon Clinic, LLC
• Lance Douglas Clawson, M.D.
• Molly Cochran Clay, CRNP-A
• London Clayton

• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.