Berenson, Lesley

Berenson, Lesley is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berenson, Lesley can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address

Medical Center Blvd Winston Salem NC 27157-0001

Phone: (336) 716-2255

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	1041C0700X	C003631	North Carolina

Profile Details

NPI number	1215911276
LBN Legal business name	Berenson, Lesley
Credentials	Licensed Clinical Social Worker (LCSW)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 2nd, 2005
Last updated	Nov 19th, 2007 - about 17 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

State	Type	Number	Issuer
All States	NPI	1215911276	NPPES
	Other	185298	MEDCOST
	MEDICAID	6106377	MEDCOST
	Other	1447K	MEDCOST

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