Individual provider Active NPI

Joseph R Lee, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1407289523
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006698 Issued in VA
Practice address
700 Baker Rd Ste 108
Dove Landing Professional BLDG
Virginia Beach, VA 23462-1077
Phone
(757) 460-4477
Fax
(757) 233-7299
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904006698 VA Primary

Addresses

Primary practice location

700 Baker Rd Ste 108
Dove Landing Professional BLDG
Virginia Beach, VA 23462-1077

Mailing address

5433 Shadowwood Dr
Virginia Beach, VA 23455-3516
Phone (757) 478-3989

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

LicenseStateTypeSpecialty
0904006698VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1407289523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 SHADOWWOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553516",
            "telephone_number": "757-478-3989",
            "fax_number": "757-233-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BAKER RD STE 108",
            "address_2": "DOVE LANDING PROFESSIONAL BLDG",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621077",
            "telephone_number": "757-460-4477",
            "fax_number": "757-233-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.