Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Leslie Susan Ko, LCMT, BCTMB

Individual provider Community Health Worker · NPI 1457856965

MS. Leslie Susan Ko, LCMT, BCTMB is a Community Health Worker in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1611 San Pablo Ave Ste 1
Berkeley, CA 94702-1367
Phone: (916) 416-0491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 327 (CA)
Community Health Worker Taxonomy 172V00000X
Other Specialist/Technologist Taxonomy 246Z00000X

Record details

NPI number1457856965
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMT , BCTMB
Sole proprietorYes
NPI enumeratedMarch 27, 2018
Last updated in NPPESMarch 30, 2025
Certification dateMarch 30, 2025

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