Active NPI
Kristen Rochelle Lessman, LCSW
- Clinical Social Worker
- Fort Bragg, NC
National Provider Identifier
1548528730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008928
- Practice address
- 2817 Reilly St
Fort Bragg, NC 28310-2800 - Phone
- (210) 392-6354
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- 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 | C008928 | NC | Primary |
Addresses
Primary practice location
2817 Reilly St
Fort Bragg, NC 28310-2800
Mailing address
2817 Reilly St
Fort Bragg, NC 28310-2800
Phone (210) 392-6354
Other practice location 1
9040 Jackson Ave McHj-Qsd-C Credentials Office
Tacoma, WA 98431-1100
Phone (253) 968-3885
Other names 1
- Kristen Rochelle Bercik
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristen.r.lessman.mil@mail.mil | Health Information Exchange (HIE) | |
| Direct Messaging Address | kristen.r.lessman.mil@mail.mil | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| C008928 | NC | MD | Clinical Social Worker |
Interoperability endpoints
- kristen.lessman.1@30520.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1548528730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY ST",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283102800",
"telephone_number": "210-392-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 REILLY ST",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283102800",
"telephone_number": "210-392-6354"
}
],
"practiceLocations": [
{
"address_1": "9040 Jackson Ave McHj-Qsd-C Credentials Office",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984311100",
"country_code": "US",
"telephone_number": "253-968-3885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESSMAN",
"first_name": "KRISTEN",
"middle_name": "ROCHELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008928",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristen.r.lessman.mil@mail.mil",
"affiliation": "N",
"endpointDescription": "military email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "9921-A East Johnson Street",
"address_2": "Madigan Annex",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984311100",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristen.r.lessman.mil@mail.mil",
"affiliation": "N",
"endpointDescription": "military email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2817 Reilly St",
"city": "Fort Bragg",
"state": "NC",
"country_code": "US",
"postal_code": "283107394",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "BERCIK",
"middle_name": "ROCHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.