Active NPI
Kristen Ann Lee, BSW, JD
- Social Worker
- Wixom, MI
National Provider Identifier
1831723741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 50222 Dennis CT
Wixom, MI 48393-2023 - Phone
- (248) 525-6832
- NPI assigned
- Feb 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
50222 Dennis CT
Wixom, MI 48393-2023
Mailing address
50222 Dennis CT
Wixom, MI 48393-2023
Phone (734) 369-1686
Other practice location 1
50222 Dennis Ct
Wixom, MI 48393-2023
Phone (248) 525-6832
Other practice location 2
50222 Dennis Ct
Wixom, MI 48393-2023
Phone (248) 525-6832
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
- Credentials
- Juris Doctor
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutics, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Methadone Clinic
- Walled Lake, MI
- NPI 1902284193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582934400000",
"number": "1831723741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50222 DENNIS CT",
"city": "WIXOM",
"state": "MI",
"postal_code": "483932023",
"telephone_number": "734-369-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50222 DENNIS CT",
"city": "WIXOM",
"state": "MI",
"postal_code": "483932023",
"telephone_number": "248-525-6832"
}
],
"practiceLocations": [
{
"address_1": "50222 Dennis Ct",
"address_purpose": "LOCATION",
"city": "Wixom",
"state": "MI",
"postal_code": "483932023",
"country_code": "US",
"telephone_number": "248-525-6832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50222 Dennis Ct",
"address_purpose": "LOCATION",
"city": "Wixom",
"state": "MI",
"postal_code": "483932023",
"country_code": "US",
"telephone_number": "248-525-6832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "KRISTEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "BSW, JD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-29",
"last_updated": "2020-02-29",
"certification_date": "2020-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.