Individual provider Active NPI

Hee Seung Lee

  • Clinical Social Worker
  • Palmdale, CA
National Provider Identifier
1114001831
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 29615 Issued in CA
Practice address
1529 E Palmdale Blvd
Suite 150
Palmdale, CA 93550-2034
Phone
(661) 575-1800
NPI assigned
Oct 25, 2006
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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 LCS 29615 CA Primary

Addresses

Primary practice location

1529 E Palmdale Blvd
Suite 150
Palmdale, CA 93550-2034

Mailing address

PO Box 1222
Artesia, CA 90702-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130805000708 CA Practitioner - Clinical Social Worker 5395987374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 29615CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Nov 8, 2014 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Nov 8, 2014 Accepting new patients

Locations

14112 S Kingsley Dr
Gardena, CA 90249
Phone (310) 217-7312

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

1529 E Palmdale Blvd
Ste 150
Palmdale, CA 93550
Phone (661) 575-1800

2260 E Palmdale Blvd
Ste J
Palmdale, CA 93550
Phone (661) 575-1800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1114001831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1222",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907021222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 E PALMDALE BLVD",
            "address_2": "SUITE 150",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502034",
            "telephone_number": "661-575-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HEE SEUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 29615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.