Leslie Yamamoto, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

854 Issued in AK

Practice address

407 5TH Ave
Fairbanks, AK 99701-4715

Phone

(907) 455-4135

Fax

(907) 455-4105

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beringia Mental Health LLC

  • Psychiatry Physician
  • Fairbanks, AK
  • NPI 1033308002
  NPD (past)
• Nurses Diversified Systems, Inc

  • Psychiatry Physician
  • Fairbanks, AK
  • NPI 1972873784
  NPD (past)
• Wendell Street Psychiatric LLC

  • Psychiatry Physician
  • Fairbanks, AK
  • NPI 1568671766
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1922218668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 5TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014715",
            "telephone_number": "907-455-4135",
            "fax_number": "907-455-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 5TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014715",
            "telephone_number": "907-455-4135",
            "fax_number": "907-455-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "LESLIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "401",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WW Enterprise, LLC
• Monica Wyatt, RN
• Kenneth W Wyman II
• Shannon R. Wyman, D.C.
• Brian Edward Yamamoto, DDS
• Fusheng Jonathan Yang
• Brionna Leigh Yannello
• Kristina Yates
• Cassey Yeager
• Daesong Yim, PH.D., LAC

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.