Individual provider Active NPI

Leiora Kortvely, LCSW, LCSW-C, CST

  • Clinical Social Worker
  • Oakland, MD
National Provider Identifier
1265749311
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone
(410) 656-9353
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 Primary

Addresses

Primary practice location

5000 Thayer Ctr Ste C
Oakland, MD 21550-1139

Mailing address

9722 Groffs Mill Dr Ste 899
Owings Mills, MD 21117-6341
Phone (410) 656-9353

Other names 1

  • Leiora R Freedman 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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 17, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 15, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 15, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 17, 2021 Accepting new patients
Virago Counseling Clinical CurrentSince Apr 1, 2020 Accepting new patients

Locations

5000 Thayer Ctr
Ste C
Oakland, MD 21550
Phone (410) 397-7100

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

2101 E Jefferson St
#4E
Rockville, MD 20852

1447 York Rd
Ste 100
Timonium, MD 21093
Phone (410) 339-5500

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

10163 SE Sunnyside Rd
Ste 490
Clackamas, OR 97015
Phone (503) 513-4400

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

15431 SE 82nd Dr
Ste L
Clackamas, OR 97015

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1265749311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 GROFFS MILL DR STE 899",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176341",
            "telephone_number": "410-656-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 THAYER CTR STE C",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501139",
            "telephone_number": "410-656-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTVELY",
        "first_name": "LEIORA",
        "credential": "LCSW, LCSW-C, CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIORA",
            "last_name": "FREEDMAN",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.