MRS. LEESA LYNETTE ALLEN LICENSED CLINICAL SO
NPI 1588913883
Social Worker in Fresno, CA

Active since August 31, 2012Opted out of Medicare · through May 13, 2027
1702 E BULLARD AVE STE 100, FRESNO, CA 93710(559) 283-1463(559) 438-8354 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Leesa Lynette Allen Licensed Clinical So NPPES

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

MRS. LEESA LYNETTE ALLEN LICENSED CLINICAL SO (NPI 1588913883) is an individual social worker in Fresno, California, licensed in California (LCS17521) and active in the NPI registry since August 2012. She has opted out of Medicare through May 13, 2027.

NPPES Registry Identity

NPI1588913883
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. LEESA LYNETTE ALLENCredential: LICENSED CLINICAL SO
Location Address1702 E BULLARD AVE STE 100Fresno, CA 93710-5800
Mailing Address1702 E Bullard Ave Ste 100Fresno, CA 93710-5800 · (559) 283-1463 · Fax (559) 438-8354
Fax(559) 438-8354
Sole ProprietorNo
Enumeration DateAugust 31, 2012
Last NPPES UpdateJanuary 3, 2013
NPI 1588913883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in CA · LCS17521
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1702 E BULLARD AVE STE 100, Fresno, CA 93710

Other Names 1

Former Name (1)Miss Leesa Lynette Balthrop

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Leesa Lynette Allen Licensed Clinical So has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2025 through May 13, 2027.

Opt-Out Effective DateMay 13, 2025
Opt-Out In Effect ThroughMay 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1702 E BULLARD AVE STE 100
FRESNO, CA 93710

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 Leesa Allen's NPI number?

The NPI number for Leesa Allen is 1588913883. It was assigned to this individual provider in the NPPES registry on August 31, 2012. The provider is also known as Miss Leesa Lynette Balthrop.

Where is Leesa Allen located?

Leesa Allen practices at 1702 E Bullard Ave Ste 100, Fresno, CA 93710. The listed phone number is (559) 283-1463.

What is Leesa Allen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Leesa Allen enrolled in Medicare?

No. Leesa Allen has opted out of Medicare through May 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Leesa Allen was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.