Pamela Leslie MSW Lisw-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PAMELA LESLIE MSW LISW-S

Practice address

2012 Ashley Oaks Cir
Sebring, FL 33870-6269

Phone

(863) 664-2074

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Pamela D LeslieNPI 1346624905

Title

Owner/Provider

Phone

(863) 664-2074

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela D. Leslie, LISW-S

  • Clinical Social Worker
  • Sebring, FL
  • NPI 1346624905
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1962228163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 ASHLEY OAKS CIR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338706269",
            "telephone_number": "863-664-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 ASHLEY OAKS CIR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338706269",
            "telephone_number": "863-664-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA LESLIE MSW LISW-S",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "863-664-2074"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Sebring, FL
• Providers in Sebring, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.