Active NPI
Kennisha Lesley
- Social Worker
- San Bernardino, CA
National Provider Identifier
1679397822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW118609
- Practice address
- 473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201 - Phone
- (909) 565-5431
- NPI assigned
- Nov 14, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW118609 | CA | Primary |
Addresses
Primary practice location
473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201
Mailing address
PO Box 382
Highland, CA 92346-0382
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 |
|---|---|---|---|
| ASW118609 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1679397822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923460382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 S CARNEGIE DR STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924084201",
"telephone_number": "909-565-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLEY",
"first_name": "KENNISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-14",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW118609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.