Individual provider Active NPI

Sun Hyung Lee, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1417110891
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 25213 Issued in CA
Practice address
2000 Embarcadero Ste 400
Oakland, CA 94606-5300
Phone
(510) 567-8122
NPI assigned
Jul 7, 2008
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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 LCS 25213 CA Primary

Addresses

Primary practice location

2000 Embarcadero Ste 400
Oakland, CA 94606-5300

Mailing address

2000 Embarcadero Ste 400
Oakland, CA 94606-5300
Phone (510) 567-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20101206000447 CA Practitioner - Clinical Social Worker 4385831254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25213CAMDClinical Neuropsychologist
LCS 25213CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Alameda CurrentSince Apr 21, 2025 Accepting new patients
Alameda County Current Accepting new patients

Locations

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

Organizations & group practices 2

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1417110891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EMBARCADERO STE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065300",
            "telephone_number": "510-567-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EMBARCADERO STE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065300",
            "telephone_number": "510-567-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUN HYUNG",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.