Walter Lile, LCSW 100824

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW100824 Issued in CA

Practice address

339 Pajaro St Ste B
Salinas, CA 93901-3400

Phone

(831) 800-7530

Fax

(831) 975-5694

NPI assigned

Aug 31, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1710354295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 PAJARO ST STE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013400",
            "telephone_number": "831-800-7530",
            "fax_number": "831-975-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 PAJARO ST STE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013400",
            "telephone_number": "831-800-7530",
            "fax_number": "831-975-5694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Harvey West Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950602103",
            "country_code": "US",
            "telephone_number": "831-425-8132 x219",
            "fax_number": "831-425-4581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILE",
        "first_name": "WALTER",
        "credential": "LCSW 100824",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW78642",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW100824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Darien Leyva, CCHW
• Katrina Lok Ting Li, OD
• Marc Lieberman, MD
• Life Applied Inc
• Dick Light, D.D.S.
• Ashley Lilienthal
• Jerrie G. Lim, MD
• Kelvin Khek Yen Lim, M.D.
• Charles Franklin Limbach, MD
• Cheyenne Limon

• Clinical Social Worker in Salinas, CA
• Providers in Salinas, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.