Lesley Srikantaiah

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6641 Issued in OR

Practice address

223 SE Davis Ave
Bend, OR 97702-1333

Phone

(541) 516-0124

NPI assigned

Mar 3, 2018

Sex

Female

Sole proprietor

No

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.

• Mountain River Therapy, LLC

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1598303315
  Medicare reassignment NPD Authorized official OR

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OR

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2025.

{
    "created_epoch": "1520035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1215439435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SW CENTURY DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 SE DAVIS AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021333",
            "telephone_number": "541-516-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIKANTAIAH",
        "first_name": "LESLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-03",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Glen Spray
• Nicole Spreadborough
• Spring River Psychological Services, LLC
• Diana Spring, DPT
• Erica Carol Spring, LPC
• St. Charles Health System
• St. Charles Health System, Inc.
• St. Charles Health System, Inc.
• St. Charles Health System, Inc.
• St. Charles Health System, Inc.

• All providers in Bend, OR
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.