Individual provider Active NPI

Lesa M Mulcahy, LCSW-C

  • Clinical Social Worker
  • Cambridge, MD
National Provider Identifier
1184782658
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11780 Issued in MD
Practice address
403 Race Street
Cambridge, MD 21613
Phone
(410) 901-9500
Fax
(410) 901-1388
NPI assigned
Dec 5, 2006
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 11780 MD Primary

Addresses

Primary practice location

403 Race Street
Cambridge, MD 21613

Mailing address

403 Race Street
Cambridge, MD 21613
Phone (410) 901-9500

Other names 1

  • Mrs. Lesa M Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20060403000696 MD Practitioner - Clinical Social Worker 7113935024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
For All Seasons, Inc.Group PAC ID 0244214187, 17 clinicians

Practice addresses (Care Compare)

208 Cedar St
Cambridge, MD 21613-2382
Phone (410) 822-1018

300 Talbot St
Easton, MD 21601-3525
Phone (410) 822-1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11780MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
For All Seasons, Inc Clinical CurrentSince Aug 29, 2011 Accepting new patients
Sailwinds Family Center LLC Clinical PastSince Nov 13, 2010 Accepting new patients
Choices Family Services, LLC Past Accepting new patients
Sailwinds Family Center Clinical Past Accepting new patients
For All Seasons, Inc. Clinical Past Accepting new patients

Locations

208 Cedar St
Cambridge, MD 21613
Phone (410) 476-4441

300 Talbot St
Easton, MD 21601

Organizations & group practices 5

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1184782658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 RACE STREET",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "21613",
            "telephone_number": "410-901-9500",
            "fax_number": "410-901-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 RACE STREET",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "21613",
            "telephone_number": "410-901-9500",
            "fax_number": "410-901-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCAHY",
        "first_name": "LESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESA",
            "last_name": "LEE",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.