Individual provider Active NPI

Lee Daly, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1508895830
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10202 Issued in FL
Practice address
1016 W Charter St
Tampa, FL 33602-1002
Phone
(813) 812-2837
Fax
(815) 331-0680
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW10202 FL Primary

Addresses

Primary practice location

1016 W Charter St
Tampa, FL 33602-1002

Mailing address

1016 W Charter St
Tampa, FL 33602-1002
Phone (813) 812-2837

Other identifiers 3

IdentifierTypeStateIssuer
3366697OtherFLUNITED BEHAVIORAL HEALTH
HZ561AMedicaidFL
871062498OtherFLOPTUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141203000369 FL Practitioner - Clinical Social Worker 6002872231 Reassigns benefits to 1 organization
Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Solutions ServicesGroup PAC ID 1052656618, 8 clinicians

Practice addresses (Care Compare)

710 Oakfield Dr
Suite 206
Brandon, FL 33511-4954
Phone (754) 800-3261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Daly LCSW LLC Clinical CurrentSince May 11, 2025 Accepting new patients
Life Solutions Services Clinical CurrentSince May 2, 2025 Accepting new patients
New Vistas-Mountain Laurel, Inc. Clinical Past Accepting new patients

Locations

710 Oakfield Dr
Ste 206
Brandon, FL 33511
Phone (754) 800-3261

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1508895830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W CHARTER ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336021002",
            "telephone_number": "813-812-2837",
            "fax_number": "815-331-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W CHARTER ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336021002",
            "telephone_number": "813-812-2837",
            "fax_number": "815-331-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "3366697",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HZ561A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "871062498",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.