Individual provider Active NPI

Freddie Mae Everett-Lee, LCSW

  • Clinical Social Worker
  • Fort Benning, GA
National Provider Identifier
1740386101
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC303403 Issued in DC
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

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
LC303403DCMDClinical 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.

Verify at the official NPI Registry.