Elle Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW94460 Issued in CA

Practice address

25422 Trabuco Rd # 105-650
Lake Forest, CA 92630-2791

Phone

(949) 441-2273

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1245851898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25422 TRABUCO RD # 105-650",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302791",
            "telephone_number": "949-441-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25422 TRABUCO RD # 105-650",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302791",
            "telephone_number": "949-441-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74478 Highway 111 # 377",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922604112",
            "country_code": "US",
            "telephone_number": "714-322-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW94460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellelee@usc.edu",
            "affiliation": "N",
            "address_1": "38969 Wisteria Dr",
            "city": "Palm Desert",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922117473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellelee@usc.edu",
            "affiliation": "N",
            "address_1": "38969 Wisteria Dr",
            "city": "Palm Desert",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922117473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellelee@usc.edu",
            "affiliation": "N",
            "address_1": "38969 Wisteria Dr",
            "city": "Palm Desert",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922117473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David M Lechuga, PHD
• Rafael Manzon Ledesma II
• Samantha Ledezma
• Brianna Lee-Miller
• Anne H. Lee, MS, RD, MA, LMFT
• Ha N Lee, DDS
• Jamie Jinju Lee, AUD
• Jay Pun Lee, PA-C
• Jieun Lee
• Kimberly Lee

• Clinical Social Worker in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.