Individual provider Active NPI

Jeremy Linn Lees, MSW, LCSW

  • Clinical Social Worker
  • Little Silver, NJ
National Provider Identifier
1225526411
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05961100 Issued in NJ
Practice address
200 White Rd Ste 208
Little Silver, NJ 07739-1162
Phone
(732) 945-6771
Fax
(732) 842-1794
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 44SL06222000 NJ
Clinical Social Worker 1041C0700X 44SC05961100 NJ Primary

Addresses

Primary practice location

200 White Rd Ste 208
Little Silver, NJ 07739-1162

Mailing address

200 White Rd Ste 208
Little Silver, NJ 07739-1162
Phone (732) 945-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107001655 NJ Practitioner - Clinical Social Worker 6507279700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stress Care of New Jersey, LLCGroup PAC ID 5294864575, 48 clinicians

Practice addresses (Care Compare)

200 White Rd
Suite 208
Little Silver, NJ 07739-1162
Phone (732) 945-6771

500 Park Ave
Manalapan, NJ 07726-8375
Phone (732) 679-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06222000NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Nov 30, 2020 Accepting new patients
Stress Care of New Jersey, LLC Single Specialty CurrentSince Nov 30, 2020 Accepting new patients
Jeremy Lees Psychotherapy Clinical CurrentSince Mar 1, 2022 Accepting new patients

Locations

200 White Rd
Ste 208
Little Silver, NJ 07739
Phone (732) 390-0007

500 Park Ave
Manalapan, NJ 07726
Phone (732) 679-4500

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

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.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1225526411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE RD STE 208",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391162",
            "telephone_number": "732-945-6771",
            "fax_number": "732-842-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE RD STE 208",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391162",
            "telephone_number": "732-945-6771",
            "fax_number": "732-842-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEES",
        "first_name": "JEREMY",
        "middle_name": "LINN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06222000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05961100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.