Active NPI
Leslie Weiss, LCSW, LADC
- Clinical Social Worker
- Long Beach, NY
National Provider Identifier
1245569425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6834
- Practice address
- 345 Shore Rd
Apt 1a
Long Beach, NY 11561-4369 - Phone
- (207) 286-6685
- NPI assigned
- Dec 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC4538 | ME | |
| Clinical Social Worker | 1041C0700X | LC6834 | ME | Primary |
| Clinical Social Worker | 1041C0700X | NY |
Addresses
Primary practice location
345 Shore Rd
Apt 1a
Long Beach, NY 11561-4369
Mailing address
345 Shore Rd
Apt 1a
Long Beach, NY 11561-4369
Phone (207) 286-6685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4538 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC6834 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1245569425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 SHORE RD",
"address_2": "APT 1A",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614369",
"telephone_number": "207-286-6685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 SHORE RD",
"address_2": "APT 1A",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614369",
"telephone_number": "207-286-6685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "LCSW, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-16",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC4538",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6834",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.