Individual provider Active NPI

Mae V Lesko, LICSW

  • Clinical Social Worker
  • Lawrence, MA
National Provider Identifier
1467107805
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW126712
Practice address
354 Merrimack St Ste 395
Lawrence, MA 01843-1755
Phone
(201) 321-2927
NPI assigned
Feb 15, 2022
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SL06655400 NJ
Clinical Social Worker 1041C0700X LICSW126712 Primary

Addresses

Primary practice location

354 Merrimack St Ste 395
Lawrence, MA 01843-1755

Mailing address

9005 Riverside PL FL 3
North Bergen, NJ 07047-6261
Phone (201) 682-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlesko@ne-family.com

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

LicenseStateTypeSpecialty
SL06655400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mlesko@ne-family.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1467107805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 RIVERSIDE PL FL 3",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476261",
            "telephone_number": "201-682-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST STE 395",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431755",
            "telephone_number": "201-321-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKO",
        "first_name": "MAE",
        "middle_name": "V",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "SL06655400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "LICSW126712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlesko@ne-family.com",
            "affiliation": "N",
            "address_1": "354 Merrimack St Ste 395",
            "city": "Lawrence",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018431755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.