Jenna Brianne Lesondak

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW90258 Issued in CA

Practice address

101 Jose Figueres Ave.
Suite 50
San Jose, CA 95116

Phone

(408) 207-0560

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jenna Lesondak, Licensed Clinical Social Worker PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Orion, MI
  • NPI 1306567029
  NPD Authorized official
• Momentum for Health

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1477906410
  NPD

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1134570161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DAFFODIL DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JOSE FIGUERES AVE.",
            "address_2": "SUITE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-207-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESONDAK",
        "first_name": "JENNA",
        "middle_name": "BRIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW90258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Mendaros Lepulu, R.N.
• Melanie Elizabeth Lerner, LCSW
• Alex Lerza, LMFT
• Wendy Leslie, BA/BS
• Cody Lesniak
• Adam Lespinasse
• Donald Yost Lesser, M.D.
• Irene Lestari, OTR/L
• Casey Jacklyn Lester, ATC
• Talia Roshini Lester, MD

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, 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 Jun 30, 2021; 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.