Healthcare Provider Details

I. General information

NPI: 1902606130
Provider Name (Legal Business Name): CATHERINE KAILUA LESINSKI MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 DRESSER CT STE 103
RALEIGH NC
27609-7325
US

IV. Provider business mailing address

3616 FOXFIRE DR
CHAPEL HILL NC
27516-7659
US

V. Phone/Fax

Practice location:
  • Phone: 919-876-5658
  • Fax:
Mailing address:
  • Phone: 585-645-9039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC018295
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09931459
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: