Active NPI
Christopher Michael Lezon, MSW, ASW
- Clinical Social Worker
- North Highlands, CA
National Provider Identifier
1417976424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15629
- Practice address
- 4612 Roseville Rd
Suite 107
North Highlands, CA 95660-5175 - Phone
- (916) 344-0199
- Fax
- (916) 344-0196
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15629 | CA | Primary |
Addresses
Primary practice location
4612 Roseville Rd
Suite 107
North Highlands, CA 95660-5175
Mailing address
4612 Roseville Rd Ste 107
North Highlands, CA 95660-5175
Phone (916) 344-0199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15629 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417976424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 ROSEVILLE RD STE 107",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605175",
"telephone_number": "916-344-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 ROSEVILLE RD",
"address_2": "SUITE 107",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605175",
"telephone_number": "916-344-0199",
"fax_number": "916-344-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEZON",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MSW, ASW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "15629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.