LESLIE S. BLUM LCSW-C BCD NPI 1164493169

NPI Information

NPI: 1164493169
Provider Name: LESLIE S. BLUM, LCSW-C, BCD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
3411 TERRAPIN RD
BALTIMORE, MD
ZIP 21208
Phone: (410) 486-3440
Get Directions

Leslie S. Blum, LCSW-C, BCD is a professional counselor in Baltimore, MD with 53 years of experience. Leslie S. Blum, LCSW-C, BCD NPI is 1164493169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3411 TERRAPIN RD
BALTIMORE, MD
ZIP 21208-128
Phone: (410) 486-3440
Fax: (410) 363-1612

The NPI 1164493169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/28/2006 and was last updated on 5/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	06471	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	074670	OTHER	MARYLAND	VALUEOPTIONS..MD /VA
2	PV40	OTHER	MARYLAND	MAGELLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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