Lester Brian Koen, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17448 Issued in MD

Practice address

7305 Baltimore Ave Ste 207
College Park, MD 20740-3232

Phone

(443) 629-9122

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1285100669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 MUSKOGEE ST",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401527",
            "telephone_number": "443-629-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 BALTIMORE AVE STE 207",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403232",
            "telephone_number": "443-629-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEN",
        "first_name": "LESTER",
        "middle_name": "BRIAN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kingsbury, ATC
• Jamie Rose Kleiner
• Karl C Klontz, M.D.
• Brittney Knott
• Nadim Elie Kodsi, D.D.S
• Frances Korbly-Canter, L.AC.
• Zainab Koroma
• Daniel Kraus, D.C.
• Gloria Futhey Krestan, LAT, ATC
• Akin O Kujore, HHA

• Clinical Social Worker in College Park, MD
• Providers in College Park, 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 Oct 23, 2018; 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.