Leslie R. Shields, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R030570-1 Issued in NY

Practice address

43 Berry Hill Rd
Oyster Bay, NY 11771-3516

Phone

(516) 624-0512

Fax

(516) 624-0512

NPI assigned

Jan 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Leslie Reed Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wise Women of New York, LLC

  • Clinical Social Worker
  • Woodbury, NY
  • NPI 1861990095
  NPD (past) Authorized official

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1942530902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 FILLOW ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068502214",
            "telephone_number": "516-318-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BERRY HILL RD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117713516",
            "telephone_number": "516-624-0512",
            "fax_number": "516-624-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "LESLIE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030570-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "REED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Schrager, ATC
• Andrea Phyllis Sebo, R.N.
• Ann Sefton, L.AC
• Ophelia Makafue Senu
• Shahrzad a Dilmaghani DPM PLLC
• Deborah L Singer, LCSW
• Robert Feldman Slifkin, M.D.
• Robert Allen Smith, OPTICIAN
• Katherine Spano, MS, BCBA, LBA
• Robert A Specht, LMSW, CASAC-T

• Clinical Social Worker in Oyster Bay, NY
• Providers in Oyster Bay, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.