Lester Leslie Higgenbottom, LCSW, LPC, CADCIII

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2031-123 Issued in WI

Practice address

1820 Arlington Ave
Racine, WI 53403

Phone

(262) 637-9933

Fax

(262) 637-9933

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Mr. Les L. Higgenbottom Professional name

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1689760332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 ARLINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53403",
            "telephone_number": "262-637-9933",
            "fax_number": "262-637-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 ARLINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53403",
            "telephone_number": "262-637-9933",
            "fax_number": "262-637-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGENBOTTOM",
        "first_name": "LESTER",
        "middle_name": "LESLIE",
        "name_prefix": "Mr.",
        "credential": "LCSW, LPC, CADCIII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1012-125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2031-123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2031-123",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "793",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39227800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LES",
            "last_name": "HIGGENBOTTOM",
            "middle_name": "L.",
            "prefix": "MR.",
            "credential": "LCSW, LPC, CADCIII",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Leslie M Hertz, MD
• Terry Donald Hess
• Matthew Anthony Hettenbach, PMHNP
• Mariah Hewitt, PSYD
• William John Hexom, PHARM.D.
• Christine Higginbotham
• Tanya Higgins, CRNA
• Laura Hilbrink, MASTERS
• Sha'Boris Hiler, LPC, SAC-IT
• Richard A Hill, D.P.M.

• Social Worker in Racine, WI
• Providers in Racine, WI by specialty
• Social Worker in Wisconsin

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