Individual provider Active NPI

Leslie Crandall Hunter, LICSW, LCSW-C

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1750583167
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080512 Issued in DC
Practice address
4025 13TH St NE
Washington, DC 20017-2611
Phone
(202) 841-8829
Fax
(202) 387-3049
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15770 MD
Clinical Social Worker 1041C0700X 0904010968 VA
Clinical Social Worker 1041C0700X LC50080512 DC Primary

Addresses

Primary practice location

4025 13TH St NE
Washington, DC 20017-2611

Mailing address

4025 13TH St NE
Washington, DC 20017-2611
Phone (202) 841-8829

Other practice location 1

1634 I St NW, Ste 1200
Washington, DC 20006-4011
Phone (202) 841-8829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080523000262 DC Practitioner - Clinical Social Worker 8224107784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4025 13TH St NE
Washington, DC 20017-2611
Phone (202) 387-3049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080512DCMDClinical Social Worker
15770MDMDClinical Social Worker
0904010968VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LCH Behavioral Health Services, PLLC Clinical CurrentSince Apr 14, 2018 Accepting new patients
Threshold Services, Inc. Past Accepting new patients

Locations

1634 I St NW
Ste 1200
Washington, DC 20006
Phone (202) 495-1581

Organizations & group practices 2

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1750583167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 13TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172611",
            "telephone_number": "202-841-8829",
            "fax_number": "202-387-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 13TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172611",
            "telephone_number": "202-841-8829",
            "fax_number": "202-387-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1634 I ST NW, STE 1200",
            "address_purpose": "LOCATION",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064011",
            "country_code": "US",
            "telephone_number": "202-841-8829",
            "fax_number": "410-882-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "LESLIE",
        "middle_name": "CRANDALL",
        "credential": "LICSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15770",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010968",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.