Leticia Isabel Limon

Individual provider Active NPI Clinical Social Worker · Lost Hills, CA

NPI 1104469535 · NPPES record last updated Nov 6, 2023

Key facts

NPI
1104469535
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW103482 (CA)
Practice address
20951 Pavilion Way
Lost Hills, CA 93249
Phone
(661) 797-3025
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCSW103482CAMDClinical Social Worker
ASW73129CAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lost Hills Union School District Current
since Nov 12, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X ASW73129 CA
Clinical Social Worker 1041C0700X LCSW103482 CA Yes

Addresses

Primary practice location

20951 Pavilion Way
Lost Hills, CA 93249

Mailing address

2901 Sunview Dr
Bakersfield, CA 93306-2397
Phone (818) 935-1971

Other providers in Lost Hills, CA

All providers in Lost Hills, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.