Leslie Dalencour

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC6559 Issued in MD

Practice address

3739 Wilkens Ave
Baltimore, MD 21229-5035

Phone

(410) 621-9261

Fax

(410) 514-3596

NPI assigned

Mar 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1205178050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 OAKLAND MILLS RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453218",
            "telephone_number": "718-496-4223",
            "fax_number": "410-514-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295035",
            "telephone_number": "410-621-9261",
            "fax_number": "410-514-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALENCOUR",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC6559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589561800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia P Dalal, MD
• Caroline Gernell Dale, M.D.
• Deborah Lynn Dale, PT
• Grady Dale Jr., EDD
• Jaony Dale
• Nicholas Michael Dalesio, M.D.
• Dalewood Homes
• Pauline Maria Daley Richards, M.D.
• Camela Daley
• Dannel George Daley, PHARMD

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.