Individual provider Active NPI

Jarim Lee, LICSW

  • Clinical Social Worker
  • Redmond, WA
National Provider Identifier
1003195819
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60585876 Issued in WA
Practice address
8275 166TH Ave NE Ste 102
Redmond, WA 98052-6629
Phone
(425) 869-2644
Fax
(425) 867-0930
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60585876 WA Primary
Clinical Social Worker 1041C0700X 080331-1 NY

Addresses

Primary practice location

8275 166TH Ave NE Ste 102
Redmond, WA 98052-6629

Mailing address

8275 166TH Ave NE Ste 200
Redmond, WA 98052-6629
Phone (425) 869-2644

Other practice location 1

2105 112th Ave NE Ste 201
Bellevue, WA 98004-2945
Phone (425) 869-2644

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170530002562 WA Practitioner - Clinical Social Worker 9931476686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emmaus Counseling Service PSGroup PAC ID 5193726701, 21 clinicians

Practice addresses (Care Compare)

8275 166TH Ave NE
Suite 102
Redmond, WA 98052-6629
Phone 42586926440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080331-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emmaus Counseling Service PS CurrentSince Apr 28, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Past Accepting new patients

Locations

2105 112th Ave NE
Ste 201
Bellevue, WA 98004
Phone (425) 770-0190

2122 112th Ave NE
Ste B200
Bellevue, WA 98004

8275 166th Ave NE
Ste 102
Redmond, WA 98052
Phone 42586926440

8275 166th Ave NE
Ste 200
Redmond, WA 98052
Phone 4258692644 ext. 17

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1003195819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 166TH AVE NE STE 200",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526629",
            "telephone_number": "425-869-2644",
            "fax_number": "425-867-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 166TH AVE NE STE 102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526629",
            "telephone_number": "425-869-2644",
            "fax_number": "425-867-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 112th Ave NE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980042945",
            "country_code": "US",
            "telephone_number": "425-869-2644",
            "fax_number": "425-867-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JARIM",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60585876",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080331-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13451 SE 36th St",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980061475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.