Individual provider Active NPI

Kimberly Susan Lesnick, LCSW

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1720314842
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23581 Issued in CA
Practice address
28481 Rancho California Rd
Suite 109
Temecula, CA 92590-3610
Phone
(951) 677-2806
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS23581 CA Primary

Addresses

Primary practice location

28481 Rancho California Rd
Suite 109
Temecula, CA 92590-3610

Mailing address

41603 Eagle Point Way
Temecula, CA 92591-7950
Phone (951) 834-2414

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
LCS23581CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1720314842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41603 EAGLE POINT WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925917950",
            "telephone_number": "951-834-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28481 RANCHO CALIFORNIA RD",
            "address_2": "SUITE 109",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903610",
            "telephone_number": "951-677-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNICK",
        "first_name": "KIMBERLY",
        "middle_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.