Kim W Lee, LCSW, CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006826 Issued in VA

Practice address

2458 Three Willows CT
Richmond, VA 23294-4020

Phone

(540) 529-5800

Fax

(804) 285-9839

NPI assigned

Aug 27, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dominion Youth Services

  • Mental Illness Community Based Residential Treatment Facility
  • Richmond, VA
  • NPI 1548353246
  NPD (past)
• Dominion Youth Services

  • Mental Illness Community Based Residential Treatment Facility
  • Roanoke, VA
  • NPI 1952562811
  NPD (past)

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1497903835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "804-285-9838",
            "fax_number": "804-285-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 THREE WILLOWS CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944020",
            "telephone_number": "540-529-5800",
            "fax_number": "804-285-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KIM",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joeran Anna Lee, RN
• John C Lee, M.D.
• Jonathan Bum Lee, MD
• Joseph W Lee, MD
• Ju Lee
• Lisa N. Lee, ARNP-BC
• Loren Walden Lee, AGPCNP-BC, RN
• Matthew C Lee, M.D., R.PH.
• Mike Lee
• Nathan W Lee, MD

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.