Individual provider Active NPI

Carolynn N Lee, MSW, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1619237104
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256331 Issued in KY
Practice address
121 Prosperous PL Ste 4a
Lexington, KY 40509-1828
Phone
(859) 263-2673
NPI assigned
May 18, 2012
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 256331 KY Primary

Addresses

Primary practice location

121 Prosperous PL Ste 4a
Lexington, KY 40509-1828

Mailing address

121 Prosperous PL Ste 4a
Lexington, KY 40509-1828
Phone (859) 333-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221130000883 KY Practitioner - Clinical Social Worker 0941678676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 Prosperous PL
Suite 4a
Lexington, KY 40509-1828
Phone (859) 333-1009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Mountain of Hope Inc Clinical Current Accepting new patients
Carolynn Lee MSW LLC Clinical CurrentSince Jul 27, 2022 Accepting new patients

Locations

121 Prosperous Pl
Ste 4A
Lexington, KY 40509
Phone (859) 263-2673

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1619237104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PROSPEROUS PL STE 4A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091828",
            "telephone_number": "859-333-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PROSPEROUS PL STE 4A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091828",
            "telephone_number": "859-263-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CAROLYNN",
        "middle_name": "N",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.