Leslie Dvorshock, LSW, CCTP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW136924 Issued in PA

Practice address

953 Market St
Williamsport, PA 17701-3448

Phone

(570) 601-4325

NPI assigned

Jul 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1992323372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 MARKET ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013448",
            "telephone_number": "570-601-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 MARKET ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013448",
            "telephone_number": "570-601-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2013 Strawbridge Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Hughesville",
            "state": "PA",
            "postal_code": "177378462",
            "country_code": "US",
            "telephone_number": "570-567-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DVORSHOCK",
        "first_name": "LESLIE",
        "credential": "LSW, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durriya S Esaa
• Eric Michael Durrwachter, DPT
• Kenneth Robert Durrwachter, MD
• Kristen Durrwachter
• Rebecca Duttry, DPT
• Kimberly Dzikowski
• E. H. Bernstine Pharmacy
• Kelly S Eaton, PA
• Emily Eck, LSW
• Stephen Alexander Eck, DDS

• Social Worker in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.