Individual provider Active NPI

Stacy D Lee, LMSW, CADCII

  • Social Worker
  • Topeka, KS
National Provider Identifier
1295928562
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11266 Issued in KS
Practice address
330 SW Oakley Ave
Topeka, KS 66606-1995
Phone
(785) 273-2252
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X KS
Social Worker 104100000X 11266 KS Primary

Addresses

Primary practice location

330 SW Oakley Ave
Topeka, KS 66606-1995

Mailing address

5401 SW 7TH St
Topeka, KS 66606-2330
Phone (785) 273-2252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230428001697 KS Practitioner - Clinical Social Worker 3274998109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11266KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Mental Health and Recovery, Inc. Current Accepting new patients
Astra Mental Health and Recovery, Inc. CurrentSince Mar 22, 2023 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients

Locations

330 SW Oakley Ave
Topeka, KS 66606
Phone (785) 233-1730

2401 SW 6th Ave
Topeka, KS 66606
Phone (785) 273-2252

5401 SW 7th St
Topeka, KS 66606
Phone (785) 273-2252

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1295928562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062330",
            "telephone_number": "785-273-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW OAKLEY AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061995",
            "telephone_number": "785-273-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STACY",
        "middle_name": "D",
        "credential": "LMSW, CADCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.