Jenneah K Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103715 Issued in TX

Practice address

2323 W Front St
Tyler, TX 75702-7747

Phone

(903) 535-1351

Fax

(903) 535-7384

NPI assigned

Oct 12, 2023

Sex

Female

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 TX

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

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.

• Andrews Center

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1821064742
  Medicare reassignment NPD
• Andrews Center -Pinkerton

  • Social Worker
  • Tyler, TX
  • NPI 1538604715
  NPD
• Andrews Center-Dropin

  • Mental Illness Community Based Residential Treatment Facility
  • Tyler, TX
  • NPI 1215303334
  NPD
• Andrews Center - Elliott St

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Canton, TX
  • NPI 1467900738
  NPD (past)
• Andrews Center - MH

  • Case Management Agency
  • Tyler, TX
  • NPI 1427119098
  NPD (past)
• Andrews Center - Mr

  • Case Manager/Care Coordinator
  • Tyler, TX
  • NPI 1093876252
  NPD (past)
• New Era Therapeutic Counseling Center, LLC

  • Case Management Agency
  • Tyler, TX
  • NPI 1841982808
  NPD (past)

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1497536668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W FRONT ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027747",
            "telephone_number": "903-597-1351",
            "fax_number": "903-535-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W FRONT ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027747",
            "telephone_number": "903-535-1351",
            "fax_number": "903-535-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNEAH",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle S. Lee, MD
• Barbara Y Lee, MD
• Charles H. Lee, M.D.
• Grace Lee
• Hyunjin Lee, M.D.
• Lesley Lee, AU.D., CCC-A, F-AAA
• Melissa Lee
• Michele Lee
• Robert Lee, LOT
• Sheila Lee

• Clinical Social Worker in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.