Individual provider Active NPI

Catherine Lee, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1053897983
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12390 Issued in CT
Practice address
45 Wadsworth St
Hartford, CT 06106-7108
Phone
(860) 527-1124
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097930 NY
Clinical Social Worker 1041C0700X 092548 NY
Clinical Social Worker 1041C0700X 12390 CT Primary

Addresses

Primary practice location

45 Wadsworth St
Hartford, CT 06106-7108

Mailing address

9201 4TH Ave Ste 2
Brooklyn, NY 11209-7066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220105002177 NY Practitioner - Clinical Social Worker 1456742238 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097930NYMDSocial Worker
12390CTMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Dec 1, 2021 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Dec 1, 2021 Accepting new patients
The Child Center of Ny, Inc. CurrentSince Sep 12, 2025 Accepting new patients

Locations

9201 4th Ave
Brooklyn, NY 11209
Phone (718) 748-1234

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

9201 4th Ave
Ste 2
Brooklyn, NY 11209
Phone (718) 238-6444

11835 Queens Blvd
Fl 6
Forest Hills, NY 11375
Phone (718) 851-7770

Organizations & group practices 3

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1053897983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WADSWORTH ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061067108",
            "telephone_number": "860-527-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092548",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.