Individual provider Active NPI

Lesley Lynn Forneron, LSCSW

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1518202639
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2021 Issued in KS
Practice address
815 S Clairborne Rd Ste 200
Olathe, KS 66062-1700
Phone
(913) 393-4283
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2021 KS Primary

Addresses

Primary practice location

815 S Clairborne Rd Ste 200
Olathe, KS 66062-1700

Mailing address

16206 W 143Rd Ter
Olathe, KS 66062-2568
Phone (913) 484-9263

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
2021KSMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1518202639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16206 W 143RD TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622568",
            "telephone_number": "913-484-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S CLAIRBORNE RD STE 200",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621700",
            "telephone_number": "913-393-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNERON",
        "first_name": "LESLEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.