Kia Lee, MSW, MBA, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23580 Issued in MN

Practice address

2120 Park Ave
Minneapolis, MN 55404-3378

Phone

(612) 872-2000

Fax

(612) 871-1375

NPI assigned

Jul 5, 2017

Last updated

Apr 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Business Administration

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Storycloth Wellness, LLC

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1336709575
  NPD (past) Authorized official

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1508387119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MINNEHAHA AVE E STE 330",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064437",
            "telephone_number": "651-717-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043378",
            "telephone_number": "612-872-2000",
            "fax_number": "612-871-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2489 Rice St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133795",
            "country_code": "US",
            "telephone_number": "651-717-8011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Minnehaha Ave E Ste 330",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551064437",
            "country_code": "US",
            "telephone_number": "651-717-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KIA",
        "credential": "MSW, MBA, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnnie Legrant Lee
• Jonathan Edward Lee, DO
• Junho Lee
• Kacia Lee, MD
• Kathy Young Lee
• Leotzi Lee, DC
• Maikia Angela Lee
• Malia Lee, NONE
• Michael S Lee, MD
• Minwoo Lee

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.