MS. LEZLIE NEUSTETER KELLISON (LCSW) – Clinical Social Worker, NPI 1497937692
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,987 CLINICAL SOCIAL WORKER in CA
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Provider Addresses for MS. LEZLIE NEUSTETER KELLISON (LCSW)
MISION VALLEY OUTPATIENT CLINIC, 8810 RIO SAN DIEGO DRI
SUITE 2200
SAN DIEGO, CA 92108
Phone: (619) 400-5168
Fax: (619) 400-5159
Type: Mailing
Dept. of Veteran Affairs, 8810, Rio San Diego Drive, Civita, Mission Valley, San Diego, San Diego County, California, 93108, United States
STE 2200
SAN DIEGO, CA 921081698
Phone: (619) 400-5168
Fax: (619) 400-5159
Type: Location
P.O. BOX 1716
SISTERS, OR 97759
Phone: (562) 618-5391
Fax: (619) 400-5159
Type: Mailing
389 SW SCALEHOUSE CT
BEND, OR 977023241
Phone: (626) 185-3915
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260115001522 | I | Clinical Social Worker | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92108)
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