JENNA LESONDAK LICENSED CLINICAL SOCIAL WORKER PC NPI 1306567029

NPI Information

  • NPI: 1306567029
  • Provider Name: JENNA LESONDAK, LICENSED CLINICAL SOCIAL WORKER PC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 72 GREENAN LN
    LAKE ORION, MI
    ZIP 48362
  • Phone: (408) 256-2841

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NPI Details

JENNA LESONDAK, LICENSED CLINICAL SOCIAL WORKER PC is a mental health (including community mental health center) clinic center in Lake Orion, MI. JENNA LESONDAK, LICENSED CLINICAL SOCIAL WORKER PC NPI is 1306567029. The provider is registered as an organization entity type.

The provider's business location address is:

72 GREENAN LN
LAKE ORION, MI
ZIP 48362-175
Phone: (408) 256-2841

The provider's authorized official is Jenna Brianne Lesondak .
The authorized official title is Owner and has the following contact phone number (831) 207-2055.

The enumeration date for this NPI number is 9/9/2022 and was last updated on 9/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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