Teresa Lee, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

150 E Arlington Blvd Ste E
Greenville, NC 27858-5019

Phone

(252) 695-0269

Fax

(252) 413-0526

NPI assigned

Apr 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faith2Evolve, LLC

  • Clinical Social Worker
  • Washington, DC
  • NPI 1326669961
  NPD Authorized official
• Restart, Inc

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1407167976
  NPD (past)

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1780002790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7781 CRYSTAL SPRINGS CIR APT 208",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176769",
            "telephone_number": "252-258-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E ARLINGTON BLVD STE E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585019",
            "telephone_number": "252-695-0269",
            "fax_number": "252-413-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lee
• Samuel Kyle Lee, M.D.
• Shaterica Shicole Lee
• Shiela E Lee, M.ED., NCC, LPC
• Tae Joon Lee, MD
• Thomas Van Dyke Lee, OT
• Tiffany Mills Lee, MSN, FNP-BC, CNN
• William C. Lee Jr.
• David Black Leeser, MD
• Legacy Healthcare Services, Inc.

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.