Leslie Anne Dieter

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP02943368 Issued in WV

Practice address

224 E Liberty St
Charles Town, WV 25414-1824

Phone

(540) 931-2130

NPI assigned

May 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 19, 2017 through Oct 19, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Eastern Panhandle Mental Health Center (Group)

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1528488012
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1568186153
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winchester, VA
  • NPI 1023217452
  NPD (past)

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1184858748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E LIBERTY ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141824",
            "telephone_number": "540-931-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E LIBERTY ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141824",
            "telephone_number": "540-931-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETER",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP02943368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Defazio
• Developmental Evolution, LLC
• Amber M Dever, SLP
• Dhurba Prasad Dhungana, MD
• Richard Nelson Diaz, DDS
• Rodrigo Dilag
• Romeo Dilag Jr.
• Alexis Danielle Dixon, MS
• Doja Logistics LLC
• Ella Doleman

• Clinical Social Worker in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.