Active NPI
Kirsten Meredith Lyders Horak, LCSW
- Social Worker
- Salinas, CA
National Provider Identifier
1891828984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS 20046
- Practice address
- 1270 Natividad Rd
RM 200
Salinas, CA 93906-3122 - Phone
- (831) 755-4510
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS 20046 | CA | Primary |
Addresses
Primary practice location
1270 Natividad Rd
RM 200
Salinas, CA 93906-3122
Mailing address
1000 S Main St
Suite 210-B
Salinas, CA 93901-2352
Phone (831) 796-1547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS 20046 | Other | CA | LCSW |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 20046 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891828984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S MAIN ST",
"address_2": "SUITE 210-B",
"city": "SALINAS",
"state": "CA",
"postal_code": "939012352",
"telephone_number": "831-796-1547",
"fax_number": "831-757-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 NATIVIDAD RD",
"address_2": "RM 200",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063122",
"telephone_number": "831-755-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDERS HORAK",
"first_name": "KIRSTEN",
"middle_name": "MEREDITH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS 20046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "LCS 20046",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- 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.