Sheng Boualong Lee Yang, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8613-123 Issued in WI

Practice address

119 N McCarthy Rd Ste P
Appleton, WI 54913-9112

Phone

(920) 903-1060

Fax

(902) 906-1164

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• US 2 Behavioral Health Care Inc

  • Professional Counselor
  • Appleton, WI
  • NPI 1083268635
  Medicare reassignment NPD Authorized official
• County of Outagamie

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Appleton, WI
  • NPI 1629138995
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1649671629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W GRANDE MARKET DR STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138406",
            "telephone_number": "920-903-1060",
            "fax_number": "902-906-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N MCCARTHY RD STE P",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139112",
            "telephone_number": "920-903-1060",
            "fax_number": "902-906-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE YANG",
        "first_name": "SHENG",
        "middle_name": "BOUALONG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8613-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8613-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100042518",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dessia J Laxton, APNP
• Mallory Mae Leanna
• Kiara Ann Lebouton, LAT, ATC
• Lederer Chiropractic, SC
• Matthew Z Lederer, D.C.
• Anthony Kou Lee, PA-C
• Gaeun Lee
• Gi Ppeum Lee, DMD
• Hli Lee
• Janelle J Lee, MD

• Clinical Social Worker in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.