Individual provider Active NPI

Leslie Weitzel-Nicoll, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1215049564
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08542 Issued in MD
Practice address
129 W Patrick St
Ste 13B
Frederick, MD 21701-5682
Phone
(301) 873-2348
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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 08542 MD Primary

Addresses

Primary practice location

129 W Patrick St
Ste 13B
Frederick, MD 21701-5682

Mailing address

13583 Deer Brook CT
Mount Airy, MD 21771-4569
Phone (301) 829-8626

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
I20040805001636 MD Practitioner - Clinical Social Worker 4880665371 Practice locations: Frederick, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

129 W Patrick St
Suite 13B
Frederick, MD 21701-5682

129 W Patrick St
Suite 13B
Frederick, MD 21701-6107
Phone (301) 873-2348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1215049564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13583 DEER BROOK CT",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714569",
            "telephone_number": "301-829-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W PATRICK ST",
            "address_2": "STE 13B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015682",
            "telephone_number": "301-873-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEL-NICOLL",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.