Sangeun Lee, LCSW, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05552100 Issued in NJ

Legal business name

SANGEUN LEE, LCSW, INC

Practice address

443 Vernon Ave
Staten Island
Staten Island, NY 10309-3044

Phone

(718) 650-0504

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Sangeun Lee, LCSW

Title

Executive Director

Phone

(718) 650-0504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1497287981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MAIN STREET",
            "address_2": "SUITE 207",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "718-650-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 VERNON AVE",
            "address_2": "STATEN ISLAND",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093044",
            "telephone_number": "718-650-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGEUN LEE, LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANGEUN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-650-0504",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05552100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Sanfilippo, M.S., CCC-SLP
• Peter Sebastian Sanfilippo, M.D.
• Sheena Sangan, MD
• Anjali Sangani, DMD
• Justin Sangeorge, LMSW
• Max Alfred Sanginario, DPM
• Carla Lynn Sangiorgio, RN
• John Sangiorgio, DVM
• Sangita Parab Medical P.C.
• Stacy Sanicola, NURSE PRACTITIONER

• Community/Behavioral Health Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.