Individual provider Active NPI

Leslie J McCarl, LCSW

  • Clinical Social Worker
  • Lewistown, PA
National Provider Identifier
1962421206
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015178 Issued in PA
Practice address
152 E Market St
Suite 111
Lewistown, PA 17044-2160
Phone
(717) 348-0072
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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 CW015178 PA Primary

Addresses

Primary practice location

152 E Market St
Suite 111
Lewistown, PA 17044-2160

Mailing address

152 E Market St
Suite 111
Lewistown, PA 17044-2160
Phone (717) 348-0072

Other identifiers 1

IdentifierTypeStateIssuer
0019279200005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150129000033 PA Practitioner - Clinical Social Worker 9537189915 Practice locations: Lewistown, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

152 E Market St
Suite 111
Lewistown, PA 17044-2160
Phone (717) 348-0072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015178PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1962421206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 E MARKET ST",
            "address_2": "SUITE 111",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442160",
            "telephone_number": "717-348-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E MARKET ST",
            "address_2": "SUITE 111",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442160",
            "telephone_number": "717-348-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARL",
        "first_name": "LESLIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019279200005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.