Active NPI
Shalon Denise Lee, LMSW ACSW CFAE
- Clinical Social Worker
- Pontiac, MI
National Provider Identifier
1023028255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 28 N Saginaw St
Ste 813
Pontiac, MI 48342-0266 - Phone
- (248) 451-0540
- Fax
- (248) 451-0544
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
28 N Saginaw St
Ste 813
Pontiac, MI 48342-0266
Mailing address
PO Box 420266
Pontiac, MI 48342-0266
Phone (248) 451-0540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00275834 | Other | MEDICARE RAILROAD | |
| 8008970090 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soka Services | Clinical | Past | Accepting new patients |
| Intervention Network Inc. | Clinical | Past | Accepting new patients |
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": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023028255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 420266",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483420266",
"telephone_number": "248-451-0540",
"fax_number": "248-451-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 N SAGINAW ST",
"address_2": "STE 813",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483420266",
"telephone_number": "248-451-0540",
"fax_number": "248-451-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SHALON",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "LMSW ACSW CFAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00275834",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8008970090",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.