Active NPI
Justin D Oh-Lee, LMSW
- Clinical Social Worker
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801105660
- Practice address
- 5816 Eastman Ave
Midland, MI 48640-6792 - Phone
- (989) 244-1888
- Fax
- (989) 321-6544
- NPI assigned
- Sep 3, 2019
- 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 | 6801105660 | MI | Primary |
Addresses
Primary practice location
5816 Eastman Ave
Midland, MI 48640-6792
Mailing address
100 NB Gratiot Ave
Mount Clemens, MI 48043-2301
Phone (586) 783-2950
Other practice location 1
120 E Warwick Dr
Alma, MI 48801-1010
Phone (989) 463-2779
Other practice location 2
6030 Bay Rd
Saginaw, MI 48604-8703
Phone (989) 244-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503002521 | MI | Practitioner - Clinical Social Worker | 4981044104 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801105660 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Psychiatric & Counseling Center, PC | Clinical | Current | Accepting new patients |
| Renewal Christian Counseling Inc | Clinical | Current | Accepting new patients |
| Healthy Transitions LLC | Current | Accepting new patients |
Locations
120 E Warwick Dr
Alma, MI 48801
Phone (989) 463-2779
5816 Eastman Ave
Midland, MI 48640
Phone (989) 244-1888
6030 Bay Rd
Saginaw, MI 48604
Phone (989) 244-1888
Interoperability endpoints
- https://api.platform.athenahealth.com/24246/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Counseling Psychologist
- Alma, MI
- NPI 1487703567
Clinical, MI
-
- Adult Care Home Facility
- Alma, MI
- NPI 1275301756
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mount Clemens, MI
- NPI 1548211535
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1205484227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NB GRATIOT AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432301",
"telephone_number": "586-783-2950",
"fax_number": "586-690-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5816 EASTMAN AVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406792",
"telephone_number": "989-244-1888",
"fax_number": "989-321-6544"
}
],
"practiceLocations": [
{
"address_1": "120 E Warwick Dr",
"address_purpose": "LOCATION",
"city": "Alma",
"state": "MI",
"postal_code": "488011010",
"country_code": "US",
"telephone_number": "989-463-2779",
"fax_number": "989-463-2064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6030 Bay Rd",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486048703",
"country_code": "US",
"telephone_number": "989-244-1888",
"fax_number": "989-321-6544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OH-LEE",
"first_name": "JUSTIN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801105660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.