Individual provider Active NPI

Roger Arnold Lee, LISW-S

  • Clinical Social Worker
  • Greenville, OH
National Provider Identifier
1003153123
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1100063 Issued in OH
Practice address
212 E Main St
Greenville, OH 45331-1913
Phone
(937) 548-1635
NPI assigned
Jan 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1100063 OH Primary

Addresses

Primary practice location

212 E Main St
Greenville, OH 45331-1913

Mailing address

212 E Main St
Greenville, OH 45331-1913
Phone (937) 548-1635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000666 OH Practitioner - Clinical Social Worker 7214175488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Farrellco, Inc.Group PAC ID 4284862707, 5 clinicians

Practice addresses (Care Compare)

375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2351
Phone (513) 825-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1100063OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Farrellco Inc CurrentSince May 31, 2014 Accepting new patients
Darke County Mental Health Clinic, Inc Past Accepting new patients

Locations

91 Rhoads Center Dr
Ste B
Centerville, OH 45458
Phone (937) 558-0483

375 Glensprings Dr
Ste 300
Cincinnati, OH 45246
Phone (513) 825-6600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1003153123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311913",
            "telephone_number": "937-548-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311913",
            "telephone_number": "937-548-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROGER",
        "middle_name": "ARNOLD",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1100063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.