Individual provider Active NPI

Leslie F Lennig, LCSW

  • Clinical Social Worker
  • Augusta, ME
National Provider Identifier
1629384458
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12072 Issued in ME
Practice address
24 Stone St Ste 201
Augusta, ME 04330-5209
Phone
(207) 213-2158
Fax
(207) 623-3722
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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 LC12072 ME Primary

Addresses

Primary practice location

24 Stone St Ste 201
Augusta, ME 04330-5209

Mailing address

24 Stone St Ste 201
Augusta, ME 04330-5209
Phone (207) 213-2158

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

LicenseStateTypeSpecialty
LC12072MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1629384458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STONE ST STE 201",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305209",
            "telephone_number": "207-213-2158",
            "fax_number": "207-623-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STONE ST STE 201",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305209",
            "telephone_number": "207-213-2158",
            "fax_number": "207-623-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNIG",
        "first_name": "LESLIE",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.