Leslie Blum, LCSW-C, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06471 Issued in MD

Legal business name

LESLIE BLUM, LCSW-C, INC.

Practice address

9199 Reisterstown Rd
#204B
Owings Mills, MD 21117-4520

Phone

(410) 486-3440

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Leslie S. Blum, LCSW-C, BCDNPI 1164493169

Title

President/Director

Phone

(410) 486-3440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie S. Blum, LCSW-C, BCD

  • Professional Counselor
  • Baltimore, MD
  • NPI 1164493169
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1508059569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 TERRAPIN ROAD",
            "city": "BALTO.",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-486-3440",
            "fax_number": "410-363-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD",
            "address_2": "#204B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174520",
            "telephone_number": "410-486-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE BLUM, LCSW-C, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "410-486-3440",
        "authorized_official_credential": "LCSW-C, BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lenderking
• Marc Lenet, DPM
• Leola Williams
• Betsy Ann Leone, M.S. CCC-SLP, BCBA
• Brian J Lerman, D.C.
• Jessica Ellen Letourneau, MA, LCPC
• Scott A Lever, DDS
• Benjamin A Levey, LCSW-C
• Levin, Diener & Herbst, P.a.
• Jonathan Levin

• Clinical Social Worker in Owings Mills, MD
• Providers in Owings Mills, 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 Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.