Lesley Sacks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6094 Issued in OR

Practice address

2205 NE 40TH Ave
Portland, OR 97212-5408

Phone

(503) 307-9012

NPI assigned

Apr 30, 2014

Last updated

Apr 30, 2014By 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)

Enrolled

State licenses

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1750791679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 NE 40TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125408",
            "telephone_number": "503-307-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 NE 40TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125408",
            "telephone_number": "503-307-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "LESLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Leroy Sack, MD
• Allen Sacker, MD
• Lisa Marie Sacker, LPC ASSOCIATE
• Katie Sackett, FNP-C, MSN
• Gary Sacks, PH.D., P.C.
• Martine Richardson Sacks, MD
• Sacred Psychiatry, LLC
• Sacred Vessel Natural Medicine
• Julie Sadah
• Raysha Kalina Tamie Sadang, PHARMD

• 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 Apr 30, 2014; 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.