Individual provider Active NPI

Denise Lee, LCSW

  • Clinical Social Worker
  • Zephyrhills, FL
National Provider Identifier
1609288513
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13030 Issued in FL
Practice address
37840 Medical Arts CT
Zephyrhills, FL 33541-4325
Phone
(352) 518-2000
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW13030 FL Primary
Clinical Social Worker 1041C0700X ISW7406 FL

Addresses

Primary practice location

37840 Medical Arts CT
Zephyrhills, FL 33541-4325

Mailing address

6706 N 9TH Ave
Pensacola, FL 32504-9303
Phone (850) 496-7266

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
I20151028002608 FL Practitioner - Clinical Social Worker 8921317140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW7406FLMDClinical Social Worker
SW13030FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Community Healthcare Group, Inc. CurrentSince Apr 21, 2024 Accepting new patients
Premier Community Healthcare Group Inc CurrentSince Apr 21, 2024 Accepting new patients

Locations

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

7551 Forest Oaks Blvd
Spring Hill, FL 34606
Phone (352) 540-6800

37840 Medical Arts Ct
Zephyrhills, FL 33541
Phone (813) 788-5569

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1609288513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325049303",
            "telephone_number": "850-496-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37840 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414325",
            "telephone_number": "352-518-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13030",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW7406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.