Individual provider Active NPI

Carissa Claire Lee, MSW, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1497575658
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00001259 Issued in KY
Practice address
2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Phone
(859) 254-1035
Fax
(859) 254-2075
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCSW00001259 KY
Clinical Social Worker 1041C0700X LCSW00001259 KY Primary

Addresses

Primary practice location

2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009

Mailing address

2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Phone (859) 254-1035

Other identifiers 1

IdentifierTypeStateIssuer
7101122680MedicaidKY

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

121 S Highland St
Winchester, KY 40391-2003

2250 Thunderstick Dr
Suite 1104
Lexington, KY 40505-9010

66 E Flagler St
Miami, FL 33130-1807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20260122001407 KY Practitioner - Clinical Social Worker 9133606015 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW00001259KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KVC Behavioral Healthcare Kentucky Inc Clinical CurrentSince Dec 10, 2025 Accepting new patients

Locations

2250 Thunderstick Dr
Ste 1104
Lexington, KY 40505
Phone (859) 300-9513

990 S Dixie Blvd
Ste 3
Radcliff, KY 40160

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1497575658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 THUNDERSTICK DR STE 1104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405059009",
            "telephone_number": "859-254-1035",
            "fax_number": "859-254-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 THUNDERSTICK DR STE 1104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405059009",
            "telephone_number": "859-254-1035",
            "fax_number": "859-254-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CARISSA",
        "middle_name": "CLAIRE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "LCSW00001259",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101122680",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.