Kimberly Laverne Lee, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021310 Issued in NC

Practice address

3800 Arco Corporate Dr Ste 150
Charlotte, NC 28273-4396

Phone

(866) 700-1606

Fax

(866) 338-5921

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Be Liv It Life Healing Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1740945245
  NPD Authorized official
• John'S Sunshine Haven, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Charlotte, NC
  • NPI 1649155284
  NPD
• Sparc Network

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1396155834

  Clinical

  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1003396706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8879",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288148879",
            "telephone_number": "866-700-1606",
            "fax_number": "866-338-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ARCO CORPORATE DR STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734396",
            "telephone_number": "866-700-1606",
            "fax_number": "866-338-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KIMBERLY",
        "middle_name": "LAVERNE",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Lee
• Heather Lee, LCSW
• Heeyoung Lee, NP
• Jae Sung Lee, DDS
• James C Lee, PHARM.D.
• Lauren Loehnert Lee, FNP-BC
• Leah Catherine Lee, RN, NP
• Lisa Lee, NP
• Lisa M Lee, CPSS, RECOVERY COACH
• Mary To Lee, LCMHCA, LPCA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.