Individual provider Active NPI

Leslie Dara Segev

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1184212656
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20282 Issued in MD
Practice address
9030 Route 108 Ste a
Columbia, MD 21045-1990
Phone
(410) 740-1901
Fax
(410) 740-2503
NPI assigned
Jan 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20282 MD Primary

Addresses

Primary practice location

9030 Route 108 Ste a
Columbia, MD 21045-1990

Mailing address

3773 Plum Hill CT
Ellicott City, MD 21042-5122
Phone (410) 300-9275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211104000703 MD Practitioner - Clinical Social Worker 1254729619 Reassigns benefits to 2 organizations
I20240807001680 DC Practitioner - Clinical Social Worker 1254729619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Way Station IncGroup PAC ID 8628064151, 25 clinicians

Practice addresses (Care Compare)

9030 State Route 108
Suite a
Columbia, MD 21045-1990
Phone (410) 740-1901

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as group
Quality
50.53
Promoting interoperability
55
Improvement activities
40
Cost
82.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc. Current Accepting new patients
Family Services, Inc Current Accepting new patients
Mosaic Community Services, Inc CurrentSince May 2, 2024 Accepting new patients
Mosaic Community Services, Inc. CurrentSince May 2, 2024 Accepting new patients
Way Station, Inc. Current Accepting new patients
Family Services, Inc. CurrentSince May 2, 2024 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1925 Greenspring Dr
Timonium, MD 21093

Organizations & group practices 6

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": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1184212656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 PLUM HILL CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425122",
            "telephone_number": "410-300-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 ROUTE 108 STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451990",
            "telephone_number": "410-740-1901",
            "fax_number": "410-740-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGEV",
        "first_name": "LESLIE",
        "middle_name": "DARA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.