Individual provider Active NPI

Helena L Weisl, LCSW-C, LP,CAADC

  • Clinical Social Worker
  • Lexington Park, MD
National Provider Identifier
1154320109
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15396 Issued in MD
Practice address
22776 Three Notch Rd
Suite 102
Lexington Park, MD 20653-3368
Phone
(610) 348-6682
Fax
(301) 780-3639
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301009466 MI
Clinical Social Worker 1041C0700X 15396 MD Primary

Addresses

Primary practice location

22776 Three Notch Rd
Suite 102
Lexington Park, MD 20653-3368

Mailing address

11005 Old Marlboro Pike
Upper Marlboro, MD 20772-2727
Phone (240) 755-7282

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

State licenses

LicenseStateTypeSpecialty
6301009466MIMDCounseling Psychologist
15396MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Cassetta, MPT, GTS, LLC PastSince Mar 20, 2021 Accepting new patients

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1154320109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 OLD MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722727",
            "telephone_number": "240-755-7282",
            "fax_number": "301-780-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22776 THREE NOTCH RD",
            "address_2": "SUITE 102",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533368",
            "telephone_number": "610-348-6682",
            "fax_number": "301-780-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISL",
        "first_name": "HELENA",
        "middle_name": "L",
        "credential": "LCSW-C, LP,CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301009466",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.