Susan Lee

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUSAN LEE

Practice address

790 E Santa Clara St Ste 110
Ventura, CA 93001-2957

Phone

(805) 701-2048

NPI assigned

Feb 25, 2022

Last updated

May 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Lee, LCSW

Title

Owner/LCSW

Phone

(609) 338-2244

Specialties & licenses 1

Addresses

Tax ID family

Susan Lee2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Susan Martinez Lee LCSW LLC

  • Clinical Social Worker
  • Ventura, CA
  • NPI 1366196735
  NPD tax ID

Locations

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1053067314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 HARBOR BLVD STE 143",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013904",
            "telephone_number": "805-701-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E SANTA CLARA ST STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012957",
            "telephone_number": "805-701-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "609-338-2244",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Sundberg, LCSW
• Sunrise Birth Center
• Sunrise Birth Center
• David Surace, DO
• Surfside Nutrition, LLC
• Susan Martinez Lee LCSW LLC
• Susan Slater MD MPH Inc
• Ilena Trish Sussman, MA, LMFT
• Valerie Sussman, MD
• Angela E. Sutter, D.C.

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.