Jeneke Lesak, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61602 Issued in TX

Practice address

111 Ramble LN Ste 120-D
Austin, TX 78745-2278

Phone

(512) 270-8215

NPI assigned

Aug 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1861002594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MONTEREY OAKS BLVD APT 616",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491093",
            "telephone_number": "512-233-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RAMBLE LN STE 120-D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452278",
            "telephone_number": "512-270-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESAK",
        "first_name": "JENEKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://atxtraumatherapycenter.com/",
            "affiliation": "N",
            "endpointDescription": "Specialty Outpatient",
            "address_1": "111 Ramble Ln Ste 120-D",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787452278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Casey Lepper, LMFT
• Maarten Hans Lequin
• Destiny Lerma
• Manuel Alejandro Lerma, PT, DPT, LAT, ATC
• Murray Lerner, PH.D.
• Lesass
• Tracy Lesht, RD
• Sarah Jane Lesinski, RDN
• Mark Charles Lesko, D.C.
• Lesley Caldwell Ma LPC PLLC

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.