Leslie Marie Smith, MSW MA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1906123 Issued in WI

Practice address

9000 West Wisconsin Avenue
Mail Station #750 Psychiatry and Behavioral Medicine CH
Milwaukee, WI 53201-1997

Phone

(262) 786-3492

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366526444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 PARK LANE",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-786-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WEST WISCONSIN AVENUE",
            "address_2": "MAIL STATION #750 PSYCHIATRY AND BEHAVIORAL MEDICINE CH",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532011997",
            "telephone_number": "262-786-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "1906123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39503300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1906123",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Monte Smith, MSW
• Latoya M Smith
• Laura D Smith
• Lawon A Smith, DONA CD
• Leonard B Smith
• Letasha Smith
• Mamie Smith, R.N
• Maria Ann Smith, PA-C
• Marie M Smith
• Mark Smith

• Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Social Worker in Wisconsin

• 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.

Verify at the official NPI Registry.