Active NPI
Stephanie Lee, LCSW
- Clinical Social Worker
- Monterey Park, CA
National Provider Identifier
1619042389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 27373
- Practice address
- 210 Centre Plaza Dr
Monterey Park, CA 91754 - Phone
- (323) 526-6386
- NPI assigned
- Nov 21, 2006
- Last updated
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 27373 | CA | Primary |
Addresses
Primary practice location
210 Centre Plaza Dr
Monterey Park, CA 91754
Mailing address
1009 S Burnside Ave
Los Angeles, CA 90019-6719
Phone (323) 937-8244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619042389 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 27373 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1619042389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 S BURNSIDE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900196719",
"telephone_number": "323-937-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 CENTRE PLAZA DR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "91754",
"telephone_number": "323-526-6386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "STEPHANIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 27373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619042389",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.