Legacy Counseling and Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LEGACY COUNSELING AND CONSULTING, LLC

Practice address

8312 Governor Grayson Way
Ellicott City, MD 21043-3450

Phone

(443) 253-4398

Fax

(410) 203-2626

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Lynne Williams, LCSW-C

Title

Licensed Therapist

Phone

(443) 253-4398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1235735135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 GOVERNOR GRAYSON WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433450",
            "telephone_number": "443-253-4398",
            "fax_number": "410-203-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 GOVERNOR GRAYSON WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433450",
            "telephone_number": "443-253-4398",
            "fax_number": "410-203-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "443-253-4398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Lee, LCPC
• Susan C. Lee, M.D.
• Yat Tung Elise Lee
• Yohan Lee, D.C.
• Young Seo Lee, L.AC
• Felicia Leipold, DC, ATC
• Sarah Katherine Leisawitz, M.S., CCC-SLP
• Joy Lennon, M.A., CCC-SLP
• Archana Goel Leon-Guerrero, MD
• Cheryl D. Leonardi, M.D.

• Clinical Social Worker in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.