Mary Ellen Liles Lemieux, J.D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73557 Issued in CA

Practice address

518 Hamilton Ave
Palo Alto, CA 94301-2011

Phone

(650) 346-7698

NPI assigned

Jan 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor

State licenses

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1134517600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 HAMILTON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012011",
            "telephone_number": "650-346-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 HAMILTON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012011",
            "telephone_number": "650-346-7698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31545 Aspen Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804879243",
            "country_code": "US",
            "telephone_number": "650-346-7698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMIEUX",
        "first_name": "MARY ELLEN",
        "middle_name": "LILES",
        "credential": "J.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11557310-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926365",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "73557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Leikauf, MD
• Lakshmi Leishangthem, M.D.
• Raymond Salgado Lejano, MD
• Ramrada Lekwuttikarn, MD
• Joann Lemaistre, PHD
• Jacie Lee Lemos, MD
• Madeleine Lemyre, M.D.
• Brent Edward Lenci
• Rebecca Leon, MD
• Mary Beth Leonard, MD

• All providers in Palo Alto, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.