Lezlie Neusteter Kellison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

389 SW Scalehouse CT
Bend, OR 97702-3241

Phone

(626) 185-3915

NPI assigned

Nov 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lezlie K Neusteter Former name

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dept of Veterans Affairs

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1427394667
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1497937692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1716",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "97759",
            "telephone_number": "562-618-5391",
            "fax_number": "619-400-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 SW SCALEHOUSE CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023241",
            "telephone_number": "626-185-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLISON",
        "first_name": "LEZLIE",
        "middle_name": "NEUSTETER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEZLIE",
            "last_name": "NEUSTETER",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madeline Kelley, DDS, MS
• Mary Allegra Kelley, DO
• Sarah Elizabeth Kelley
• Suzanne Nicole Kelley
• Thomas Christopher Kelley, DO
• Ann Elisabeth Kellogg, D.O.
• Edward Kellogg
• Kelly Belczyk LCSW LLC
• Carol Lee Kelly
• Casie Kelly, LMT

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.