Clarke, Leslie

Clarke, Leslie is an individual health care provider with primary practice located at 4401 E West Hwy Ste 300 , Bethesda MD 20814-4538. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clarke, Leslie can be contacted via phone (301) 646-1298.

Contact Information

Primary practice address
4401 E West Hwy Ste 300 Bethesda MD 20814-4538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 20639 Maryland
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BH000071 Pennsylvania

Profile Details

NPI number 1104241934
LBN Legal business name Clarke, Leslie
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2014
Last updated Sep 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104241934 NPPES
Maryland Other 1770529869 MEDICARE

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