Active NPI
Lateace G Lee
- Clinical Social Worker
- Kent, OH
National Provider Identifier
1245558634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11440232
- Practice address
- 155 N. Water Street
Kent, OH 44240 - Phone
- (330) 678-3006
- Fax
- (330) 677-7047
- NPI assigned
- May 10, 2010
- Last updated
- Feb 8, 2018
- Sex
- Female
- 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 | 11440232 | OH | Primary |
Addresses
Primary practice location
155 N. Water Street
Kent, OH 44240
Mailing address
910 Saxon Ave
Akron, OH 44314-2919
Phone (330) 564-6572
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 |
|---|---|---|---|
| 11440232 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1245558634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 SAXON AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443142919",
"telephone_number": "330-564-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N. WATER STREET",
"city": "KENT",
"state": "OH",
"postal_code": "44240",
"telephone_number": "330-678-3006",
"fax_number": "330-677-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LATEACE",
"middle_name": "G",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "11440232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.