| Leslie L. Williams | |
|
1914 J N Pease Pl Ste 150 Charlotte NC 28262-4504 | |
| (704) 921-9943 | |
| (704) 665-1959 |
| Full Name | Leslie L. Williams |
|---|---|
| Speciality | Social Worker |
| Location | 1914 J N Pease Pl Ste 150, Charlotte, North Carolina |
| Authorized Official Name and Position | Leslie Williams (LCSW, CCTP/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 7049219943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie L. Williams 8531 Ridgeline Ln Charlotte NC 28269-8000 Ph: (704) 921-9943 | Leslie L. Williams 1914 J N Pease Pl Ste 150 Charlotte NC 28262-4504 Ph: (704) 921-9943 |
| NPI Number | 1255692919 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Medicare PECOS PAC ID | 1456500339 |
|---|---|
| Medicare Enrollment ID | O20121010000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255692919 | NPI | - | NPPES |
| 6007532 | Medicaid | NC | |
| 5092840 | Other | NC | AETNA |
| 928979 | Other | NC | AVAILITY |
| 13604553 | Other | NC | CIGNA |
| 000816420001 | Other | NC | UHC-OPTUM |
| 02GFQ | Other | NC | BLUE CROSS AND BLUE SHIELD OF NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C006756 (North Carolina) | Primary |
| Provider Name | Leslie L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962728352 PECOS PAC ID: 0244489151 Enrollment ID: I20121010000422 |
| Provider Name | Reginald M Gilkesson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467647701 PECOS PAC ID: 3375961048 Enrollment ID: I20200911001380 |
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