Kerry Lee LCSW LLC

Key facts

NPI

1548070428

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

KERRY LEE LCSW LLC

Practice address

8 W Main St Ste 3-11
Niantic, CT 06357-2332

Phone

(860) 867-0311

NPI assigned

Jan 13, 2025

Organization subpart

No

Authorized official

Name

Kerry Lee, LCSW NPI 1720351620

Title

Owner/Operator

Phone

(860) 867-0311

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry Lee, LCSW, LADC Clinical Social Worker · Norwich, CT · NPI 1720351620
  Medicare reassignment NPD Authorized official CT
• Jessica Sellins, LCSW Clinical Social Worker · Niantic, CT · NPI 1083098966
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2025.

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1548070428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "SCOTLAND",
            "state": "CT",
            "postal_code": "062640183",
            "telephone_number": "860-867-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W MAIN ST STE 3-11",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572332",
            "telephone_number": "860-867-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY LEE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "860-867-0311",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

• Ashley James
• Kathryn Lee Johnson, MD
• Kenneth N Johnson
• Richard Frederick Jones III, MD
• Kristin Marie Kenny, APRN
• Lisa D King, LMT, RYT
• Jennifer A Koch
• Patricia Lorna Leaky, COTA
• Hannah Leonard
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All providers in Niantic, CT · Community/Behavioral Health Agency in Connecticut