Active NPI
Sunny R Lee, LCSW
- Social Worker
- Biloxi, MS
National Provider Identifier
1215032867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C6047
- Practice address
- 1636 Popps Ferry Rd
Suite 117
Biloxi, MS 39532-2217 - Phone
- (228) 396-1600
- Fax
- (228) 396-5001
- NPI assigned
- Sep 14, 2006
- 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 | C6047 | MS | Primary |
Addresses
Primary practice location
1636 Popps Ferry Rd
Suite 117
Biloxi, MS 39532-2217
Mailing address
1636 Popps Ferry Rd
Suite 117
Biloxi, MS 39532-2217
Phone (228) 396-1600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180096 | Other | MS | VALUE OPTIONS |
| 180151 | Other | MS | COMPSYCH |
| 62-88956 | Other | MS | UNITED BEHAVIORAL HEALTH |
| 125297573899 | Other | MS | HUMANA |
| 174456 | Other | MS | COMPSYCH |
| 1179558 | Other | MS | CIGNA |
| 0119005 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6047 | MS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215032867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 POPPS FERRY RD",
"address_2": "SUITE 117",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322217",
"telephone_number": "228-396-1600",
"fax_number": "228-396-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 POPPS FERRY RD",
"address_2": "SUITE 117",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322217",
"telephone_number": "228-396-1600",
"fax_number": "228-396-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUNNY",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "C6047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "180096",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "180151",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-88956",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "125297573899",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "174456",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1179558",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0119005",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.