Individual provider Active NPI

Leslie Kaliner Santa, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1194082412
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50079190 Issued in DC
Practice address
1555 Connecticut Ave NW
Suite 4E
Washington, DC 20036-1111
Phone
(202) 656-8515
Fax
(202) 483-4243
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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 LC50079190 DC Primary

Addresses

Primary practice location

1555 Connecticut Ave NW
Suite 4E
Washington, DC 20036-1111

Mailing address

1725 New Hampshire Ave NW
Apt 507
Washington, DC 20009-2566
Phone (202) 656-8515

Other names 1

  • Leslie Sara Kaliner Former name

Medicare participation

Medicare enrollment files
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 Jun 26, 2019 through Jun 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50079190DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1194082412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 NEW HAMPSHIRE AVE NW",
            "address_2": "APT 507",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092566",
            "telephone_number": "202-656-8515",
            "fax_number": "202-483-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 CONNECTICUT AVE NW",
            "address_2": "SUITE 4E",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361111",
            "telephone_number": "202-656-8515",
            "fax_number": "202-483-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA",
        "first_name": "LESLIE",
        "middle_name": "KALINER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "KALINER",
            "middle_name": "SARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.