Individual provider Active NPI

Robert Lee, LCSW, CSAC

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1386702124
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2400-123 Issued in WI
Practice address
1225 W Historic Mitchell St Ste 223
Milwaukee, WI 53204-3383
Phone
(414) 383-4455
Fax
(414) 383-6759
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2400-123 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12089 WI
Social Worker 104100000X

Addresses

Primary practice location

1225 W Historic Mitchell St Ste 223
Milwaukee, WI 53204-3383

Mailing address

1225 W Historic Mitchell St Ste 223
Milwaukee, WI 53204-3383
Phone (414) 383-4455

Other identifiers 1

IdentifierTypeStateIssuer
39251500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20060428000276 WI Practitioner - Clinical Social Worker 9537179973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multi-Cultural Counseling Services II Inc.Group PAC ID 1850301672, 7 clinicians

Practice addresses (Care Compare)

2500 W Layton Ave
Suite 110
Milwaukee, WI 53221-5400
Phone (414) 383-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12089WIMDAddiction (Substance Use Disorder) Counselor
2400-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Cultural Counseling Services II Inc. CurrentSince Jun 17, 2009 Accepting new patients

Locations

1225 W Mitchell St
Ste 223
Milwaukee, WI 53204
Phone (414) 383-4455

2500 W Layton Ave
Ste 110
Milwaukee, WI 53221
Phone (414) 281-0424

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1386702124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W HISTORIC MITCHELL ST STE 223",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043383",
            "telephone_number": "414-383-4455",
            "fax_number": "414-383-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W HISTORIC MITCHELL ST STE 223",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043383",
            "telephone_number": "414-383-4455",
            "fax_number": "414-383-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROBERT",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2400-123",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12089",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39251500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.