Jessica Kang Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88522 Issued in CA

Practice address

4010 Sawtelle Blvd
Los Angeles, CA 90066-5408

Phone

(213) 394-2665

NPI assigned

Aug 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nokdu Therapy a Licensed Clinical Social Worker Professional Corp

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1578289765
  NPD Authorized official

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1457727216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665408",
            "telephone_number": "213-394-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665408",
            "telephone_number": "213-394-2665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 So. Lafayette Park Place",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "LA",
            "state": "CA",
            "postal_code": "900575400",
            "country_code": "US",
            "telephone_number": "213-252-2100",
            "fax_number": "213-383-3146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "middle_name": "KANG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88522",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW72675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Lee, M.D.
• Jerry Yuan-Ho Lee
• Jessica Lee, NP
• Jessica Lee, MD
• Jessica Ann Lee, M.D.
• Jessica Sze-Eng Lee, OTR/L
• Jessica Yeehsin Lee, M.D.
• Jessica Yvette Lee, PA-C
• Ji Hae Lee, MD
• Ji Youn Lee, DMD

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.