Individual provider Active NPI

Leslie Henriquez

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1801224779
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16263 Issued in MD
Practice address
13218 Brooklane Dr
Hagerstown, MD 21742-1435
Phone
(301) 733-0331
Fax
(301) 733-4038
NPI assigned
Oct 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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 16263 MD Primary

Addresses

Primary practice location

13218 Brooklane Dr
Hagerstown, MD 21742-1435

Mailing address

13218 Brooklane Dr
Hagerstown, MD 21742-1435
Phone (301) 733-0331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180913002192 MD Practitioner - Clinical Social Worker 4486904323 Reassigns benefits to 1 organization
I20260225004276 DC Practitioner - Clinical Social Worker 4486904323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Lukas Behavioral Health LLCGroup PAC ID 3971995911, 7 clinicians
Clarksburg Behavioral Health LLCGroup PAC ID 8123469004, 3 clinicians

Practice addresses (Care Compare)

1305 Pennsylvania Ave
Hagerstown, MD 21742-3107
Phone (301) 876-4889

23310 Frederick Rd
Clarksburg, MD 20871-9704
Phone (240) 755-6285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16263MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksburg Behavioral Health LLC CurrentSince Jan 12, 2026 Accepting new patients
Lukas Behavioral Health LLC CurrentSince Dec 2, 2024 Accepting new patients
Feel Good Therapy Current Accepting new patients

Locations

23310 Frederick Rd
Clarksburg, MD 20871
Phone (240) 219-6686

618 N Mechanic St
Cumberland, MD 21502
Phone (301) 298-9671

1305 Pennsylvania Ave
Hagerstown, MD 21742
Phone (240) 925-9366

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": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1801224779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13218 BROOKLANE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421435",
            "telephone_number": "301-733-0331",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13218 BROOKLANE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421435",
            "telephone_number": "301-733-0331",
            "fax_number": "301-733-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.