Wesley Lecounte, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21018 Issued in MD

Practice address

325 Gambrills Rd Ste F
Gambrills, MD 21054-1102

Phone

(443) 569-8882

NPI assigned

Mar 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wesley Ingram Former name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Change Health Systems, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1558414862
  Medicare reassignment NPD
• Change Health Systems, Inc

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1093236200
  NPD

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1386104156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 EASTHAM CT APT 34",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141034",
            "telephone_number": "443-970-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GAMBRILLS RD STE F",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541102",
            "telephone_number": "443-569-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECOUNTE",
        "first_name": "WESLEY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "I526870098757",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WESLEY",
            "last_name": "INGRAM",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Lynch NP Telehealth Services
• Laurel Ambulatory Surgical Center
• Trudy-Ann Lawford
• Chelsea E Leap, OT
• Tamara Ann Leary, D.D.S.
• Lisa Ayd Leydig, PT
• LHMG Medical Group, LLC
• LHMG Physical Therapy, LLC
• Chimene Linette Liburd, MD
• Lighttrack Health Systems, LLC

• Clinical Social Worker in Gambrills, MD
• Providers in Gambrills, 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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.