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LESLIE YENEDITH DAZO LCSW
NPI 1073244471
Social Worker - Clinical in Lake Elsinore, CA

Active since June 17, 2022PECOS Enrolled
265 SAN JACINTO RIVER RD, LAKE ELSINORE, CA 92530(951) 674-9243 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Feb 7, 2025 (2 updates tracked since 2025).

About Leslie Yenedith Dazo Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE YENEDITH DAZO LCSW (NPI 1073244471) is an individual clinical provider in Lake Elsinore, California, licensed in California (128300) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Escondido, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073244471
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLESLIE YENEDITH DAZOCredential: LCSW
Location Address265 SAN JACINTO RIVER RDLake Elsinore, CA 92530-4419
Mailing Address265 San Jacinto River Rd Ste 107Lake Elsinore, CA 92530-4400 · (951) 674-9243
Phone(951) 674-9243
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1073244471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 128300
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
265 SAN JACINTO RIVER RD, Lake Elsinore, CA 92530
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Secondary Practice Location 1

Location 1425 N Date StEscondido, CA 92025-3413 · Phone (833) 867-4642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie Yenedith Dazo Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092227827
PECOS Enrollment IDI20250625004094
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIXA AGUIRRE
Marriage & Family Therapist
265 SAN JACINTO RIVER RD, SUITE 107
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
STEPHANIE ROJAS CORDON
Marriage & Family Therapist
265 SAN JACINTO RIVER RD, SUITE 107
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
JASMINE J JOHNSON
Counselor (Mental Health)
265 SAN JACINTO RIVER RD
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
VICTOR COMMUNITY SUPPORT SERVICES, INC.
Community/Behavioral Health
265 SAN JACINTO RIVER RD, SUITE 106,107, 201-207
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
VICTOR MANUEL LEZAMA JR.
Counselor (Mental Health)
265 SAN JACINTO RIVER RD
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
MISS LOURDES PATRICIA GABUCAN AMFT
Marriage & Family Therapist
265 SAN JACINTO RIVER RD
LAKE ELSINORE, CA 92530
Riverside County (951) 291-4336
DIANA K ARMENTA
Marriage & Family Therapist
265 SAN JACINTO RIVER RD, SUITE 107
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
JOHANNA GONZALEZ
Day Training/Habilitation Specialist
265 SAN JACINTO RIVER RD, SUITE 107
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Dazo's NPI number?

The NPI number for Leslie Dazo is 1073244471. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Leslie Dazo located?

Leslie Dazo practices at 265 San Jacinto River Rd, Lake Elsinore, CA 92530. The listed phone number is (951) 674-9243.

What is Leslie Dazo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Leslie Dazo enrolled in Medicare?

Yes. Leslie Dazo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leslie Dazo was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.