Active NPI
Karen Lee
- Clinical Social Worker
- Vicksburg, MS
National Provider Identifier
1710488804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C0962
- Practice address
- 1205 Monroe St
Vicksburg, MS 39183-2953 - Phone
- (601) 638-1336
- Fax
- (601) 529-1224
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C0962 | MS | Primary |
Addresses
Primary practice location
1205 Monroe St
Vicksburg, MS 39183-2953
Mailing address
295 Singing Hills Roade
Vicksburg, MS 39180
Phone (601) 529-1224
Other names 1
- Kay Lee
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 |
|---|---|---|---|
| C0962 | MS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1710488804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 SINGING HILLS ROADE",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "39180",
"telephone_number": "601-529-1224",
"fax_number": "601-638-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 MONROE ST",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391832953",
"telephone_number": "601-638-1336",
"fax_number": "601-529-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KAREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C0962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAY",
"last_name": "LEE",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.