IndividualActive
Andi Ley, LCSW
NPI 1760133656 · Clinical Social Worker · South Lake Tahoe, CA
Provider details
- NPI number
- 1760133656
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 135569 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1693 Nadowa St
South Lake Tahoe, CA 96150-9615
Phone: (480) 987-2053
Street-level locationGet directions
Mailing address
193 Carmel Ave
Pacifica, CA 94044-2556
Additional practice locations (1)
- 10400 Fricot City RdSan Andreas, CA 95249-9642Phone: (616) 644-3115
Registry dates
- Enumerated
- 2022-01-12
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.