Individual provider Active NPI

Leslie-Anne Irene Letso, LCSW, LCADC

  • Social Worker
  • New Brunswick, NJ
National Provider Identifier
1881384600
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC06321100 Issued in NJ
Practice address
320 Suydam St
New Brunswick, NJ 08901-2417
Phone
(732) 246-4025
Fax
(732) 246-1214
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00389400 NJ
Social Worker 104100000X 44SC06321100 NJ Primary

Addresses

Primary practice location

320 Suydam St
New Brunswick, NJ 08901-2417

Mailing address

320 Suydam St
New Brunswick, NJ 08901-2417
Phone (732) 246-4025

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
37LC00389400NJMDAddiction (Substance Use Disorder) Counselor
44SC06321100NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1881384600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUYDAM ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012417",
            "telephone_number": "732-246-4025",
            "fax_number": "732-246-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUYDAM ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012417",
            "telephone_number": "732-246-4025",
            "fax_number": "732-246-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETSO",
        "first_name": "LESLIE-ANNE",
        "middle_name": "IRENE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00389400",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06321100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.