LESLIE WAGNER (NPI# 1952841678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952841678 |
| Entity Type | Individual |
| Full Name | LESLIE WAGNER |
| Credential | LCSW-C |
| Practice Address |
658 Kenilworth Dr Suite 206 Towson MD 21204-2312 |
| Mailing Address |
13409 Cambria Farms Rd Phoenix MD 21131-1637 |
| Practice Telephone | 4439280903 |
| Mailing Telephone | 4439280903 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
18963 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720293723 | Leslie Wagner | Speech-Language Pathologist | 55 Tiemann Pl, Apt # 55, New York, NY 10027-3332 | 2007-05-11 |
| 1023139326 | Leslie Michelle Wagner | Massage Therapist | 2710 Civic Cir, Amarillo, TX 79109-1648 | 2007-04-03 |
| 1013033398 | Leslie Ann Wagner | Psychologist | 533 Saint Clair St, Grosse Pointe, MI 48230-1503 | 2007-03-21 |
| 1740788397 | Leslie Wagner | Speech-Language Pathologist | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-01-30 |
| 1639699036 | Leslie A Wagner | Dentist | 1212 N Cole Rd, Boise, ID 83704-8646 | 2017-06-27 |
| 1033303938 | Leslie Wagner | Registered Nurse | 9333 Tech Center Dr, Suite 800, Sacramento, CA 95826-2583 | 2007-09-04 |
| Street Address |
658 KENILWORTH DR SUITE 206 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965185 | Audra Rachel Stern | Physical Therapist | 658 Kenilworth Dr, Suite 100, Towson, MD 21204-2312 | 2005-07-08 |
| 1528411725 | Quinton Myers Sr. | Nurse Practitioner | 658 Kenilworth Dr, Suite 206, Towson, MD 21204-2312 | 2016-07-22 |
| 1114318094 | Ancient Widom Healing Arts | Acupuncturist | 658 Kenilworth Dr, Suite #102, Towson, MD 21204-2312 | 2015-02-12 |
| 1124418876 | Steven Wilson Broussard | Acupuncturist | 658 Kenilworth Dr, Towson, MD 21204-2312 | 2015-02-03 |
| 1548682305 | Sarah R Rixham | Physical Therapist | 658 Kenilworth Dr, Ste 100, Towson, MD 21204-2312 | 2014-01-14 |
| 1700208956 | Dental One Associates Kenilworth LLC | Dentist | 658 Kenilworth Dr, 210, Towson, MD 21204-2312 | 2014-01-07 |
| 1437499795 | Kristin Henry | Physical Therapist | 658 Kenilworth Dr, Suite 100, Towson, MD 21204-2312 | 2013-02-25 |
| 1508103862 | Life Fitness Physical Therapy LLC | Physical Therapist | 658 Kenilworth Dr, Suite 100, Towson, MD 21204-2312 | 2013-01-07 |
| 1982940565 | Carey Custer | Physical Therapy Assistant | 658 Kenilworth Dr, Suite 100, Towson, MD 21204-2312 | 2012-12-31 |
| 1750632022 | Stephanie Lynn Stover | Physical Therapist | 658 Kenilworth Dr, Ste 100, Towson, MD 21204-2312 | 2012-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296741 | Abigail Taylor | Social Worker | 1004 Malvern Ave, Towson, MD 21204-6715 | 2020-05-12 |
| 1356962807 | Fleurette Fougere Forbes | Social Worker | 707 York Rd Apt 3123, Towson, MD 21204-2873 | 2020-05-06 |
| 1356983134 | Felicia Alston James | Social Worker | 521 E Joppa Rd Ste 204a, Towson, MD 21286-1807 | 2019-10-12 |
| 1952964470 | Perissos Therapy LLC | Social Worker | 28 E Susquehanna Ave Ste 205, Towson, MD 21286-5218 | 2019-04-19 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1447730668 | Timothy Francis Dunnigan | Social Worker | 600 Washington Ave Ste 100, Towson, MD 21204-1303 | 2018-08-16 |
| 1609369438 | Robert Edward Reichhelm | Social Worker | 120 Sister Pierre Dr Ste 204, Towson, MD 21204-7525 | 2018-06-06 |
| 1942700299 | Helaina Brown Ebling | Social Worker | 26 Stone Manor Ct, Towson, MD 21204-4348 | 2018-02-13 |
| 1285141762 | Dionne Coleman | Social Worker | 100 E Pennsylvania Ave Ste 202, Towson, MD 21286-0700 | 2018-01-05 |
| 1265960603 | Amaris Watson Gale | Social Worker | 320 E Towsontown Blvd Ste 2w, Towson, MD 21286-5318 | 2017-05-30 |
| Find all providers in TOWSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.