Individual provider Active NPI

Leslie Valerio, LMSW

  • Social Worker
  • Berlin, MD
National Provider Identifier
1922706076
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
28217 Issued in MD
Practice address
10026 Main St BLDG 1
Berlin, MD 21811-3206
Phone
(410) 973-2211
Fax
(443) 782-0350
NPI assigned
Feb 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 28217 MD Primary

Addresses

Primary practice location

10026 Main St BLDG 1
Berlin, MD 21811-3206

Mailing address

10026 Main St BLDG 1
Berlin, MD 21811-3206
Phone (410) 973-2211

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
28217MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling Christian Ministry, LLC CurrentSince Feb 19, 2023 Accepting new patients

Locations

10026 Main St
Bldg 1
Berlin, MD 21811
Phone (410) 973-2211

Organizations & group practices 1

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": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1922706076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 MAIN ST BLDG 1",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113206",
            "telephone_number": "410-973-2211",
            "fax_number": "443-782-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10026 MAIN ST BLDG 1",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113206",
            "telephone_number": "410-973-2211",
            "fax_number": "443-782-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIO",
        "first_name": "LESLIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "28217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.