Active NPI
Carissa Claire Lee, MSW, LCSW
- Clinical Social Worker
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW00001259
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101122680 | Medicaid | KY |
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.
-
- Mental Health Counselor
- Lexington, KY
- NPI 1083902191
Clinical, KY
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260122001407 | KY | Practitioner - Clinical Social Worker | 9133606015 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW00001259 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KVC Behavioral Healthcare Kentucky Inc | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.