Individual
ANDI LEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1693 NADOWA ST, SOUTH LAKE TAHOE, CA 96150-9615
(480) 987-2053
Mailing address
193 CARMEL AVE, PACIFICA, CA 94044-2556
(480) 987-2053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135569
CA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/21/2026
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