Active NPI
Michelle Lee, LCSW
- Social Worker
- Monterey, CA
National Provider Identifier
1295061737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29411
- Practice address
- 23625 Pacific Grove-Carmel Hwy
Monterey, CA 93942 - Phone
- (831) 625-4775
- Fax
- (831) 625-4778
- NPI assigned
- Oct 18, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 29411 | CA | Primary |
Addresses
Primary practice location
23625 Pacific Grove-Carmel Hwy
Monterey, CA 93942
Mailing address
PO Box HH
Chomp/GP
Monterey, CA 93942
Phone (831) 625-4775
Other names 1
- Ms. Michelle Lynn Rudeen
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29411 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1295061737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX HH",
"address_2": "CHOMP/GP",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93942",
"telephone_number": "831-625-4775",
"fax_number": "831-625-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23625 PACIFIC GROVE-CARMEL HWY",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93942",
"telephone_number": "831-625-4775",
"fax_number": "831-625-4778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-18",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "29411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "RUDEEN",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.