Individual provider Active NPI

Sandra S Lee, MSW, LCSW

  • Clinical Social Worker
  • Loveland, CO
National Provider Identifier
1295817914
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923217 Issued in CO
Practice address
1635 Foxtrail Dr
Loveland, CO 80538-9086
Phone
(970) 541-9590
NPI assigned
Oct 20, 2006
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 25114 CA
Clinical Social Worker 1041C0700X CSW.09923217 CO Primary

Addresses

Primary practice location

1635 Foxtrail Dr
Loveland, CO 80538-9086

Mailing address

1635 Foxtrail Dr
Loveland, CO 80538-9086
Phone (970) 541-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 31, 2024 through May 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 25114CAMDClinical Social Worker
CSW.09923217COMDClinical Social Worker
25114CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Lee Christian Counseling Inc Clinical Current Accepting new patients

Locations

1635 Foxtrail Dr
Loveland, CO 80538
Phone (970) 460-8015

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1295817914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 FOXTRAIL DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389086",
            "telephone_number": "970-541-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 FOXTRAIL DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389086",
            "telephone_number": "970-541-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANDRA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25114",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.