Active NPI
Ingrid M Lee
- Social Worker
- Brisbane, CA
National Provider Identifier
1174284277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW128540
- Practice address
- 280 Old County Rd Unit 299
Brisbane, CA 94005-1365 - Phone
- (415) 857-3109
- NPI assigned
- Jan 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW128540 | CA | Primary |
Addresses
Primary practice location
280 Old County Rd Unit 299
Brisbane, CA 94005-1365
Mailing address
PO Box 299
Brisbane, CA 94005-0299
Other practice location 1
680 E Colorado Blvd
Pasadena, CA 91101-6143
Phone (646) 941-7645
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
402 W Broadway
Suite 400
San Diego, CA 92101-3554
68 Belhaven CT
Daly City, CA 94015-4093
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW128540 | CA | MD | Social Worker |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1679172290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1174284277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "BRISBANE",
"state": "CA",
"postal_code": "940050299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 OLD COUNTY RD UNIT 299",
"city": "BRISBANE",
"state": "CA",
"postal_code": "940051365",
"telephone_number": "415-857-3109"
}
],
"practiceLocations": [
{
"address_1": "680 E Colorado Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911016143",
"country_code": "US",
"telephone_number": "646-941-7645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "INGRID",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-01",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCSW128540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brisbane, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.