Active NPI
Lesley Ann Buck, LCSW
- Clinical Social Worker
- Fort George G Meade, MD
National Provider Identifier
1528263167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076243
- Practice address
- Usameddac
2480 Llewellyn Ave
Fort George G Meade, MD 20755 - Phone
- (347) 623-4483
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 076243 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 0904013529 | VA |
Addresses
Primary practice location
Usameddac
2480 Llewellyn Ave
Fort George G Meade, MD 20755
Mailing address
Usameddac
2480 Llewellyn Ave
Fort George G. Meade, MD 20755
Phone (347) 623-4483
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904013529 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FM Coaching & Counseling LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- El Paso, TX
- NPI 1740427384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1528263167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "USAMEDDAC",
"address_2": "2480 LLEWELLYN AVE",
"city": "FORT GEORGE G. MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "347-623-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USAMEDDAC",
"address_2": "2480 LLEWELLYN AVE",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "347-623-4483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "LESLEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2024-02-28",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076243",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904013529",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort George G Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.