Jacob Lee, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

118344 Issued in NY

Practice address

783 Chenango St Ste D
Binghamton, NY 13901-1870

Phone

(607) 307-5388

NPI assigned

Dec 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mountain Top Counseling LCSW PLLC

  • Clinical Social Worker
  • Binghamton, NY
  • NPI 1881310431

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1124730338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 CHENANGO ST STE D",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139011870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 CHENANGO ST STE D",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139011870",
            "telephone_number": "607-307-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JACOB",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MountainTopPeace@gmail.com",
            "affiliation": "N",
            "address_1": "783 Chenango St Ste D",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139011870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ailsa Lee, MD
• Brennan R. Lee, DMD
• Chong T Lee, MD
• Eugene Lee
• Heather Marie Lee, PHARM D
• James J Lee, MD
• Jeanette J Lee
• Kristin Lee, RD
• Simone Lee, FNP-C
• Susan Lee, PHD

• Social Worker in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.