Active NPI
Kendall Duran Lesure Sr., LLMSW
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1518197854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801085639
- Practice address
- 18457 North Dr
Apt 43
Southfield, MI 48076-1123 - Phone
- (313) 575-3385
- NPI assigned
- Jul 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 6801085639 | MI | Primary |
Addresses
Primary practice location
18457 North Dr
Apt 43
Southfield, MI 48076-1123
Mailing address
18457 North Dr
Apt. 43
Southfield, MI 48076-1123
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 |
|---|---|---|---|
| 6801085639 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowered Living Services | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Detroit, MI
- NPI 1750944609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1518197854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18457 NORTH DR",
"address_2": "APT. 43",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18457 NORTH DR",
"address_2": "APT 43",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761123",
"telephone_number": "313-575-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESURE",
"first_name": "KENDALL",
"middle_name": "DURAN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-21",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801085639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.