Individual provider Active NPI

Lee R Chambers, LCSW, MAC,CAADC, RAS

  • Clinical Social Worker
  • Warner Robins, GA
National Provider Identifier
1619306867
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005857 Issued in GA
Practice address
341 Margie Dr Ste 3a
Warner Robins, GA 31088
Phone
(478) 832-9442
Fax
(229) 299-0993
NPI assigned
Nov 8, 2013
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C1303150905 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X 509319 GA
Addiction (Substance Use Disorder) Counselor 101YA0400X C0157 GA
Social Worker 104100000X S.1200490 OH
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 8277 CT
Clinical Social Worker 1041C0700X CSW005857 GA Primary

Addresses

Primary practice location

341 Margie Dr Ste 3a
Warner Robins, GA 31088

Mailing address

401 Obrien Dr
Kathleen, GA 31047-5351
Phone (478) 832-9442

Other practice location 1

305 Smithville Church Rd Ste B
Warner Robins, GA 31088-3148
Phone (478) 832-9442

Other identifiers 5

IdentifierTypeStateIssuer
003177727BMedicaidGA
003177727EMedicaidGA
9453675OtherGAAETNA
202G706472OtherGA821165799
4658124OtherGACIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address counseling@communitypsychotherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131127000553 GA Practitioner - Clinical Social Worker 7416183207 Reassigns benefits to 2 organizations
Practice locations: Douglas, GA
I20230918000665 CT Practitioner - Clinical Social Worker 7416183207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 Obrien Dr
Kathleen, GA 31047-5351
Phone (478) 832-9442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1303150905CAMDAddiction (Substance Use Disorder) Counselor
509319GAMDAddiction (Substance Use Disorder) Counselor
C0157GAMDAddiction (Substance Use Disorder) Counselor
8277CTMDProfessional Counselor
S.1200490OHMDSocial Worker
CSW005857GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince May 29, 2023 Accepting new patients
Community Psychotherapy and Addiction Counseling, LLC Clinical CurrentSince Apr 9, 2017 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

211 Ashley St E
Ste 105
Douglas, GA 31533
Phone (912) 348-5583

341 Margie Dr
Ste 3A
Warner Robins, GA 31088
Phone (478) 832-9442

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, 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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1619306867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OBRIEN DR",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310475351",
            "telephone_number": "478-832-9442",
            "fax_number": "229-299-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MARGIE DR STE 3A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-832-9442",
            "fax_number": "229-299-0993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Smithville Church Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310883148",
            "country_code": "US",
            "telephone_number": "478-832-9442",
            "fax_number": "229-299-0993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "LEE",
        "middle_name": "R",
        "credential": "LCSW, MAC,CAADC, RAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-08",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C1303150905",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "509319",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0157",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1200490",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8277",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003177727B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003177727E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9453675",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "821165799",
            "identifier": "202G706472",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4658124",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "counseling@communitypsychotherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "341 Margie Dr Ste 3A",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.