Individual provider Active NPI

Rebecca B Lee, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1831131044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW 3120 Issued in TN
Practice address
638 W Iris Dr
Nashville, TN 37204-3191
Phone
(615) 975-7084
Fax
(615) 292-4459
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LSW 3120 TN Primary

Addresses

Primary practice location

638 W Iris Dr
Nashville, TN 37204-3191

Mailing address

638 W Iris Dr
Nashville, TN 37204-3191
Phone (615) 975-7084

Other identifiers 3

IdentifierTypeStateIssuer
3695729MedicaidTN
4031438OtherTNBC/BS RASAC
9457223OtherTNCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518000559 TN Practitioner - Clinical Social Worker 1456341692 Practice locations: Antioch, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Antioch, TN 37013
Phone (615) 975-7084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW 3120TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sexual Assault Center PastSince Aug 12, 2013 Accepting new patients
Odyssey Counseling Clinical PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831131044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 W IRIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043191",
            "telephone_number": "615-975-7084",
            "fax_number": "615-292-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W IRIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043191",
            "telephone_number": "615-975-7084",
            "fax_number": "615-292-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "REBECCA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW 3120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3695729",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS RASAC",
            "identifier": "4031438",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9457223",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.