Lee Legrand Perry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5974695-3501 Issued in UT

Practice address

5149 S 1500 W
Riverdale, UT 84405-3926

Phone

(801) 475-0402

Fax

(801) 475-7464

NPI assigned

Sep 16, 2006

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Clinical

  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1760588818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 S 1500 W STE 180",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844053926",
            "telephone_number": "801-475-0402",
            "fax_number": "801-475-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 S 1500 W",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844053926",
            "telephone_number": "801-475-0402",
            "fax_number": "801-475-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "LEE",
        "middle_name": "LEGRAND",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "59746953502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5974695-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Idon'tknow",
            "affiliation": "N",
            "address_1": "5149 S 1500 W",
            "city": "Riverdale",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844053926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Morgan Owens
• Kimberly Pace
• Cindy Lee Palmer, RPH
• Reilly Pankoski
• Karrie Lee Perry, CSW
• Catherine Peterson
• Brandi Lynn Pitcher, RBT
• Platinum Sound LLC
• Krystal Pooler
• Shanquette Prophet, CSW

• Clinical Social Worker in Riverdale, UT
• Providers in Riverdale, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.