Ray Everett Liles, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS7532 Issued in CA

Practice address

1255 E Highland Ave Ste 107
San Bernardino, CA 92404-4652

Phone

(909) 645-8579

NPI assigned

May 11, 2012

Last updated

May 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1033478904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923251029",
            "telephone_number": "909-645-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 E HIGHLAND AVE STE 107",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044652",
            "telephone_number": "909-645-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "RAY",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS7532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeskills Development
• Light of Day Transportation
• Lightning Medical Transport
• Brandon Cornel Ligon
• Sanaa Isha Ligons, DO
• Kenneth Michael Lillard
• Myron Damon Lilley, MSW
• Aaron Jay Lim, RN
• Andrew Steven Lim, CRNA
• Domonique Alexandria Limas

• Clinical Social Worker in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.