Lesley Ann Van Voorhees, M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW 26092 Issued in CA

Practice address

1330 Lincoln Ave
Suite 201
San Rafael, CA 94901-2120

Phone

(415) 459-5999

Fax

(415) 459-5602

NPI assigned

Jul 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 29, 2023 through Dec 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Institute for Psychotherapy

  • Voluntary or Charitable Agency
  • San Rafael, CA
  • NPI 1760403794
  NPD (past)
• Community Institute for Psychotherapy

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1780995258
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1265661375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BAYO VISTA AVE",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391006",
            "telephone_number": "415-464-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LINCOLN AVE",
            "address_2": "SUITE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012120",
            "telephone_number": "415-459-5999",
            "fax_number": "415-459-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VOORHEES",
        "first_name": "LESLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW 26092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Rose Van Der Toorn
• Philippa Van Der Wal, RN CNM
• Alexandra N Van Dyke
• Bethany Laura Van Dyke, M.F.T.
• Marta Van Leuven, M.F.T.
• Christine M Vandenbroucke-Bouckaert, PH.D.IN CLINICAL PSY
• Debra Ann Vandergriend
• Jeffrey Neil Vanderheym, D.C.
• Katelyn Vandever, ASW #120967
• Leslie Vandyke

• Social Worker in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.