Erin Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012674 Issued in IL

Practice address

3502 W 98TH St
Evergreen Park, IL 60805-3018

Phone

(708) 204-5002

NPI assigned

Apr 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1154064749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 W 98TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 W 98TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053018",
            "telephone_number": "708-204-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystyna Larson, P.T., CLT
• Laurel Health Center, Inc.
• LCR Primary Care LLC
• Naomi Marie Ledezma, MA
• Abby Lee, DMD, MS
• Hae C. Lee, M.D.
• Jessica Genevieve Lee, MD
• Timothy Lee
• Legend Home Health Care Professionals
• Leland C Lenahan III, M.D.

• Clinical Social Worker in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.