Lee A Patterson Jr., LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019548 Issued in NC

Practice address

4724 Park Rd Ste D
Charlotte, NC 28209-4204

Phone

(704) 896-7776

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Achieve Balance, PLLC

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1265934731
  Medicare reassignment
• Southlake Center for Self Discovery

  • Clinical Social Worker
  • Davidson, NC
  • NPI 1366656910
  NPD (past)
• Southlake Counseling & Consulting

  • Clinical Social Worker
  • Davidson, NC
  • NPI 1194864975
  NPD (past)

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1437933389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 NORTHEAST DR STE 201",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367438",
            "telephone_number": "704-896-7776",
            "fax_number": "704-896-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 PARK RD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094204",
            "telephone_number": "704-896-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "LEE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kashe Patterson
• Kayla Brooke Patterson, LCMHC-A, NCC
• Kayla Denise Patterson
• Kimberly Nicole Patterson, OTRL
• Laurice Patterson
• Linsey Patterson
• Madisyn Lenora Patterson, COTA/L
• Mary Silliman Patterson
• Michele E. Patterson, NP
• Mysia Patterson

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.