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NPI Code Detail

MEDICARE: MS. LESLIE JOY WEISMAN LCSW

MEDICARE: MS. LESLIE JOY WEISMAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904001998VA

General Provider Information

NPI Number : 1962557827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLIE JOY WEISMAN LCSW
Provider Business Mailing Address
First Line : 3129 VALLEY LN
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22044-1736
Country : US
Telephone Number : 703-385-4278
Fax Number : 703-228-5234
Provider Business Practice Location Address
First Line : 5319 LEE HWY
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-1607
Country : US
Telephone Number : 703-385-4278
Fax Number : 703-228-5234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/09/2007

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