Individual provider Active NPI

Joanne M Lee, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1235455817
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075883-1 Issued in NY
Practice address
737 Delaware Ave
Buffalo, NY 14209-2260
Phone
(716) 885-9894
Fax
(716) 885-9897
NPI assigned
Apr 8, 2010
Last updated
Apr 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075883-1 NY Primary

Addresses

Primary practice location

737 Delaware Ave
Buffalo, NY 14209-2260

Mailing address

737 Delaware Ave
Buffalo, NY 14209-2260
Phone (716) 885-9894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180405000293 NY Order and Referring Only - Clinical Social Worker 6406119478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075883-1NYMDClinical Social Worker
47290NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1235455817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092260",
            "telephone_number": "716-885-9894",
            "fax_number": "716-885-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092260",
            "telephone_number": "716-885-9894",
            "fax_number": "716-885-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075883-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.