Active NPI
Freddie Mae Everett-Lee, LCSW
- Clinical Social Worker
- Fort Benning, GA
National Provider Identifier
1740386101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC303403
- Practice address
- Usameddac, Social Work SVCS, Bldg9200 Mach
Fort Benning, GA 31905-4004 - Phone
- (706) 544-4418
- Fax
- (706) 544-4458
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | LC303403 | DC | Primary |
Addresses
Primary practice location
Usameddac, Social Work SVCS, Bldg9200 Mach
Fort Benning, GA 31905-4004
Mailing address
3700 Bridgewater Rd
H-2
Columbus, GA 31909-4767
Phone (770) 266-8399
Other names 1
- Mrs. Freddie Mae Everett-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 |
|---|---|---|---|
| LC303403 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1740386101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 BRIDGEWATER RD",
"address_2": "H-2",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319094767",
"telephone_number": "770-266-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USAMEDDAC, SOCIAL WORK SVCS, BLDG9200 MACH",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319054004",
"telephone_number": "706-544-4418",
"fax_number": "706-544-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT-LEE",
"first_name": "FREDDIE",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC303403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FREDDIE",
"last_name": "EVERETT-LEE",
"middle_name": "MAE",
"prefix": "MRS.",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.