Provider Demographics
NPI:1972713931
Name:LESNIK, PAUL J (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:J
Last Name:LESNIK
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 S J ST APT 14
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-3734
Mailing Address - Country:US
Mailing Address - Phone:561-236-1101
Mailing Address - Fax:
Practice Address - Street 1:30 S J ST APT 14
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-3734
Practice Address - Country:US
Practice Address - Phone:561-236-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW68841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ127EOtherBCBS PROVIDER NUMBER