Individual provider Active NPI

Leslie Marcia Krohn, LCSWC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1598967234
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04282 Issued in MD
Practice address
6301 N Charles St
Suite 8
Baltimore, MD 21212-1047
Phone
(410) 377-6370
Fax
(410) 377-6516
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 04282 MD Primary

Addresses

Primary practice location

6301 N Charles St
Suite 8
Baltimore, MD 21212-1047

Mailing address

12606 Worthington Ridge Rd
Reisterstown, MD 21136-5520
Phone (410) 356-1511

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031111000097 MD Practitioner - Clinical Social Worker 3678486149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5901 Falls Rd
Baltimore, MD 21209-3725
Phone (443) 869-5731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04282MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lesliekrohn Lcswc Inc. Clinical CurrentSince Aug 1, 2008 Accepting new patients
Lisa H. Kornberg, LLC CurrentSince Nov 26, 2023 Accepting new patients
Amy L Kopel, LLC Clinical Past Accepting new patients

Locations

5901 Falls Rd
Baltimore, MD 21209
Phone (443) 590-3701

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598967234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 WORTHINGTON RIDGE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365520",
            "telephone_number": "410-356-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N CHARLES ST",
            "address_2": "SUITE 8",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121047",
            "telephone_number": "410-377-6370",
            "fax_number": "410-377-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROHN",
        "first_name": "LESLIE",
        "middle_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.