Individual provider Active NPI

Daniel Alto Lee, L.C.S.W

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1689825671
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1436 Issued in KY
Practice address
278 Southland Dr Ste 204
Lexington, KY 40503-1940
Phone
(859) 278-3456
NPI assigned
Oct 8, 2008
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X KY
Psychologist 103T00000X KY
Clinical Social Worker 1041C0700X 1436 KY Primary
Marriage & Family Therapist 106H00000X KY

Addresses

Primary practice location

278 Southland Dr Ste 204
Lexington, KY 40503-1940

Mailing address

278 Southland Dr Ste 204
Lexington, KY 40503-1940
Phone (859) 278-3456

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
I20181116002420 KY Practitioner - Clinical Social Worker 4688928245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1436KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Association of Lexington Psychologist CurrentSince Aug 25, 2015 Accepting new patients
John D Michelman, MD, PSC Past Accepting new patients

Locations

274 Southland Dr
Ste 204
Lexington, KY 40503
Phone (859) 274-3456

861 Corporate Dr
#103
Lexington, KY 40503
Phone (859) 224-2022

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1689825671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 SOUTHLAND DR STE 204",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031940",
            "telephone_number": "859-278-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 SOUTHLAND DR STE 204",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031940",
            "telephone_number": "859-278-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANIEL",
        "middle_name": "ALTO",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2020-11-05",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1436",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.