Active NPI
Leigh Wassel Beck, DSW, LCSWC, LICSW
- Social Worker
- Perry Hall, MD
National Provider Identifier
1568697662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 32007
- Practice address
- 4917 Tartan Hill Rd
Perry Hall, MD 21128-9666 - Phone
- (617) 899-4664
- NPI assigned
- May 19, 2009
- Last updated
- Aug 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 32007 | MD | Primary |
Addresses
Primary practice location
4917 Tartan Hill Rd
Perry Hall, MD 21128-9666
Mailing address
4917 Tartan Hill Rd
Perry Hall, MD 21128-9666
Phone (617) 899-4664
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 |
|---|---|---|---|
| 32007 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1568697662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4917 TARTAN HILL RD",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289666",
"telephone_number": "617-899-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4917 TARTAN HILL RD",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289666",
"telephone_number": "617-899-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "LEIGH",
"middle_name": "WASSEL",
"name_prefix": "Dr.",
"credential": "DSW, LCSWC, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "32007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.