Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leslie D. Mavromatis, LICSW

Individual provider Mental Health Counselor · NPI 1922546175

Leslie D. Mavromatis, LICSW is a Clinical Social Worker in Bridgeport, West Virginia. Qualified in 2000, 26 years ago. Practices with Bridgeport Behavioral Clinic, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
26
Licensed in
WV
In the registry since
2017
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

527 Medical Park Dr
Bridgeport, WV 26330-9008
Phone: (304) 933-3885
Fax: (304) 933-3887
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence DP00944782 (WV)

Record details

NPI number1922546175
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 8, 2017
Last updated in NPPESFebruary 8, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Bridgeport Behavioral Clinic — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bridgeport