Active NPI
Lesley Kristen Sampson, LCSW-C
- Case Manager/Care Coordinator
- Bel Air, MD
National Provider Identifier
1306966577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 12994
- Practice address
- 1 N Main St
Bel Air, MD 21014-3592 - Phone
- (410) 638-3060
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 12994 | MD | Primary |
Addresses
Primary practice location
1 N Main St
Bel Air, MD 21014-3592
Mailing address
929 Felicia CT
Bel Air, MD 21014-2539
Phone (410) 420-0579
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12994 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306966577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 FELICIA CT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210142539",
"telephone_number": "410-420-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N MAIN ST",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143592",
"telephone_number": "410-638-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSON",
"first_name": "LESLEY",
"middle_name": "KRISTEN",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MD",
"license": "12994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.