Active NPI
Hyo Joon Lee, LICSW
- Clinical Social Worker
- Bellevue, WA
National Provider Identifier
1134717317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61094816
- Practice address
- 1601 116TH Ave NE Ste 111
Bellevue, WA 98004-3010 - Phone
- (425) 947-5030
- NPI assigned
- Jan 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW61094816 | WA | Primary |
Addresses
Primary practice location
1601 116TH Ave NE Ste 111
Bellevue, WA 98004-3010
Mailing address
1601 116TH Ave NE Ste 111
Bellevue, WA 98004-3010
Phone (206) 717-5693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 13, 2024 through Jan 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW61094816 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1134717317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 116TH AVE NE STE 111",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043010",
"telephone_number": "206-717-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 116TH AVE NE STE 111",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043010",
"telephone_number": "425-947-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HYO",
"middle_name": "JOON",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-04",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61094816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.