Active NPI
David P. Lee, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1831298694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 77006
- Practice address
- 1731 E 120TH St
Los Angeles, CA 90059-3051 - Phone
- (323) 563-5802
- Fax
- (323) 563-9333
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00009084 | WA | |
| Clinical Social Worker | 1041C0700X | 77006 | CA | Primary |
Addresses
Primary practice location
1731 E 120TH St
Los Angeles, CA 90059-3051
Mailing address
PO Box 6312
Long Beach, CA 90806-0312
Phone (213) 265-5181
Other practice location 1
2301 E 28th St Ste 309
Signal Hill, CA 90755-2181
Phone (562) 330-0537
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77006 | CA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1831298694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6312",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908060312",
"telephone_number": "213-265-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593051",
"telephone_number": "323-563-5802",
"fax_number": "323-563-9333"
}
],
"practiceLocations": [
{
"address_1": "2301 E 28th St Ste 309",
"address_purpose": "LOCATION",
"city": "Signal Hill",
"state": "CA",
"postal_code": "907552181",
"country_code": "US",
"telephone_number": "562-330-0537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00009084",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "77006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.