Individual provider Active NPI

Tyler Nicole Lesane, LGSW

  • Social Worker
  • Washington, DC
National Provider Identifier
1669155289
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LG50083188 Issued in DC
Practice address
1500 Franklin St NE
Washington, DC 20018-2000
Phone
(202) 765-9843
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LG50083188 DC Primary

Addresses

Primary practice location

1500 Franklin St NE
Washington, DC 20018-2000

Mailing address

1406 Garcia CT Unit I
Aberdeen, MD 21001-1274
Phone (252) 702-9648

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
LG50083188DCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1669155289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 GARCIA CT UNIT I",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011274",
            "telephone_number": "252-702-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FRANKLIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182000",
            "telephone_number": "202-765-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESANE",
        "first_name": "TYLER",
        "middle_name": "NICOLE",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50083188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

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