Active NPI
Leslie Siebert, MSW, LSW
- Social Worker
- Lancaster, PA
National Provider Identifier
1629489778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW004564E
- Practice address
- 2501 Oregon Pike
Lancaster, PA 17601-4890 - Phone
- (717) 466-2468
- Fax
- (717) 735-0999
- NPI assigned
- May 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | SW004564E | PA | Primary |
Addresses
Primary practice location
2501 Oregon Pike
Lancaster, PA 17601-4890
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
632 Icedale Rd
Honey Brook, PA 19344-8665
Phone (215) 527-8320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104107910 | Medicaid | PA | |
| 12698709 | Other | PA | CAQH ID |
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 |
|---|---|---|---|
| SW004564E | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1629489778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE STE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-709-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 OREGON PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014890",
"telephone_number": "717-466-2468",
"fax_number": "717-735-0999"
}
],
"practiceLocations": [
{
"address_1": "632 Icedale Rd",
"address_purpose": "LOCATION",
"city": "Honey Brook",
"state": "PA",
"postal_code": "193448665",
"country_code": "US",
"telephone_number": "215-527-8320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIEBERT",
"first_name": "LESLIE",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-12",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW004564E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104107910",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "12698709",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.