Leslie A Kizner, LCSW, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R021131 Issued in NY

Practice address

9745 Queens Blvd
Fegs Penthouse
Rego Park, NY 11374-2101

Phone

(718) 896-9090

Fax

(718) 896-1333

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750462354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 251ST ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622433",
            "telephone_number": "718-229-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 QUEENS BLVD",
            "address_2": "FEGS PENTHOUSE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742101",
            "telephone_number": "718-896-9090",
            "fax_number": "718-896-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZNER",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R021131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna King, PT, DPT
• Nicole M King
• Erika Rachael Kipen, RN
• Audrey Olivia Kirkland, D.P.T.
• Michele Kirschner, LMSW
• Leslie Koffler
• Dmitriy V Kolesnik, MD
• Isaiah Yanlok Kong, LCSW
• Alyson Rose Koonin, MSW
• Paul M Koslow

• Clinical Social Worker in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.