Individual provider Active NPI

Kristen Brooks Lesneski, LCSW-A

  • Clinical Social Worker
  • Raeford, NC
National Provider Identifier
1063143428
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016625 Issued in NC
Practice address
7489 Rockfish Rd
Raeford, NC 28376-6131
Phone
(910) 584-6739
Fax
(833) 260-0543
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P016625 NC Primary

Addresses

Primary practice location

7489 Rockfish Rd
Raeford, NC 28376-6131

Mailing address

7489 Rockfish Rd
Raeford, NC 28376-6131
Phone (910) 584-6739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5619 Ramsey St
Fayetteville, NC 28311-1423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P016625NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Therapeutic Services, PLLC Clinical CurrentSince Aug 28, 2022 Accepting new patients

Locations

7489 Rockfish Rd
Raeford, NC 28376
Phone (910) 584-6739

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1063143428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7489 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766131",
            "telephone_number": "910-584-6739",
            "fax_number": "833-260-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7489 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766131",
            "telephone_number": "910-584-6739",
            "fax_number": "833-260-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNESKI",
        "first_name": "KRISTEN",
        "middle_name": "BROOKS",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.