| Leslie Blum, Lcsw-c, Inc. | |
|
9199 Reisterstown Rd #204b Owings Mills MD 21117-4520 | |
| (410) 486-3440 | |
| Not Available |
| Full Name | Leslie Blum, Lcsw-c, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 9199 Reisterstown Rd, Owings Mills, Maryland |
| Authorized Official Name and Position | Leslie S. Blum (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 4104863440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Blum, Lcsw-c, Inc. 3411 Terrapin Road Balto. MD 21208 Ph: (410) 486-3440 | Leslie Blum, Lcsw-c, Inc. 9199 Reisterstown Rd #204b Owings Mills MD 21117-4520 Ph: (410) 486-3440 |
| NPI Number | 1508059569 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 01/10/2008 |
| Medicare PECOS PAC ID | 9032138979 |
|---|---|
| Medicare Enrollment ID | O20051121000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508059569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06471 (Maryland) | Primary |
| Provider Name | Leslie S Blum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164493169 PECOS PAC ID: 5395764237 Enrollment ID: I20051121000310 |
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