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MARY CATHERINE LIESENBERG LCSW
NPI 1215288634
Social Worker - Clinical in San Diego, CA

Active since September 25, 2012PECOS Enrolled
10155 PACIFIC HEIGHTS BLVD BLDG AZ2ND, SAN DIEGO, CA 92121(858) 651-5918 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 31, 2017 (2 updates tracked since 2017).

About Mary Catherine Liesenberg Lcsw NPPES

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

MARY CATHERINE LIESENBERG LCSW (NPI 1215288634) is an individual clinical provider in San Diego, California, licensed in California (77043) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215288634
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY CATHERINE LIESENBERGCredential: LCSW
Location Address10155 PACIFIC HEIGHTS BLVD BLDG AZ2NDSan Diego, CA 92121-4214
Mailing Address10155 Pacific Heights Blvd, Bldg Az, 2nd FloorSan Diego, CA 92121 · (858) 651-5918
Phone(858) 651-5918
Sole ProprietorNo
Enumeration DateSeptember 25, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1215288634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 77043✔ Licensed in CT · 008817
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.
10155 PACIFIC HEIGHTS BLVD BLDG AZ2ND, San Diego, CA 92121
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Catherine Liesenberg Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92121 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Mary Liesenberg's NPI number?

The NPI number for Mary Liesenberg is 1215288634. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Mary Liesenberg located?

Mary Liesenberg practices at 10155 Pacific Heights Blvd Bldg Az2nd, San Diego, CA 92121. The listed phone number is (858) 651-5918.

What is Mary Liesenberg's specialty?

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

Is Mary Liesenberg enrolled in Medicare?

Yes. Mary Liesenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Liesenberg was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.