So Young Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076154 Issued in NY

Practice address

100 Old Palisade Rd Apt 606
Fort Lee, NJ 07024-7013

Phone

(347) 228-3475

NPI assigned

Jan 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546300800000",
    "number": "1679045652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD PALISADE RD APT 606",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247013",
            "telephone_number": "347-228-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD PALISADE RD APT 606",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247013",
            "telephone_number": "347-228-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SO YOUNG",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-01",
        "last_updated": "2019-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Eungsang Lee, PT
• Richard Lee, DC
• Ryan S Lee, D.C.
• Samuel Lee, PHARM. D.
• Sang-Uk Lee, P.T
• Sue-Jung Lee, M.S. ED
• Suebin Lee, LAC, MHC-LP
• Sun Hee Lee Lee, MD
• Young NA Lee
• Youngjae Lee, LCSW

• Clinical Social Worker in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.