Individual provider Active NPI

Catherine Hae-Ran Lee, LCSW

  • Clinical Social Worker
  • Sherman Oaks, CA
National Provider Identifier
1023142528
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22151 Issued in CA
Practice address
15206 Ventura Blvd Ste 303
Sherman Oaks, CA 91403-5364
Phone
(818) 732-0749
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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 LCS22151 CA Primary

Addresses

Primary practice location

15206 Ventura Blvd Ste 303
Sherman Oaks, CA 91403-5364

Mailing address

4804 Laurel Canyon Blvd # 1200
Valley Village, CA 91607-3717
Phone (818) 732-0749

Other practice location 1

4740 Vantage Ave Apt 6
Valley Village, CA 91607-3838
Phone (818) 732-0749

Other identifiers 1

IdentifierTypeStateIssuer
PSIX552MedicaidCA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS22151CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1023142528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 LAUREL CANYON BLVD # 1200",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073717",
            "telephone_number": "818-732-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15206 VENTURA BLVD STE 303",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035364",
            "telephone_number": "818-732-0749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4740 Vantage Ave Apt 6",
            "address_purpose": "LOCATION",
            "city": "Valley Village",
            "state": "CA",
            "postal_code": "916073838",
            "country_code": "US",
            "telephone_number": "818-732-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CATHERINE",
        "middle_name": "HAE-RAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSIX552",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.