Active NPI
Shaun Michael Lee
- Clinical Social Worker
- Asheville, NC
National Provider Identifier
1639615883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012150
- Practice address
- 1100 Tunnel Rd
Asheville, NC 28805-2576 - Phone
- (828) 298-7911
- NPI assigned
- Jan 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | C012150 | NC | Primary |
Addresses
Primary practice location
1100 Tunnel Rd
Asheville, NC 28805-2576
Mailing address
1100 Tunnel Rd
Asheville, NC 28805-2576
Phone (828) 578-8025
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 |
|---|---|---|---|
| C012150 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1639615883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 TUNNEL RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288052576",
"telephone_number": "828-578-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 TUNNEL RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288052576",
"telephone_number": "828-298-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SHAUN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-12",
"last_updated": "2022-03-25",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.