Lesley Smith, AM, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10347 Issued in OR

Practice address

5120 SE 28TH Ave
Portland, OR 97202-4505

Phone

(503) 597-8991

Fax

(503) 597-8901

NPI assigned

Nov 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1689187148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024505",
            "telephone_number": "503-597-8991",
            "fax_number": "503-597-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024505",
            "telephone_number": "503-597-8991",
            "fax_number": "503-597-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESLEY",
        "credential": "AM, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura H Smith, PSYD
• Laura Yvonne Smith, PMHNP-BC
• Laurel Alexandra Smith, CCC-SLP
• Lauren Smith
• Lawrence M. Smith, LPC
• Leslie Kay Smith, PT
• Levi Smith
• Leyla Akan Smith, M.D.
• Linda Sue Smith, PHYSICAL THERAPIST
• Lindsey Clare Smith

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.