Active NPI
Ann M Lee
- Clinical Social Worker
- Kensington, MD
National Provider Identifier
1841822186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 08151
- Practice address
- 10400 Connecticut Ave Ste 215
Kensington, MD 20895-3941 - Phone
- (240) 994-0199
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 08151 | MD | Primary |
Addresses
Primary practice location
10400 Connecticut Ave Ste 215
Kensington, MD 20895-3941
Mailing address
4405 Rex PL
Rockville, MD 20853-1255
Phone (240) 994-0199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08151 | Other | MD | MD BOARD OF SOCIAL WORK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | prhpllc@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 10, 2023 through Mar 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1841822186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 REX PL",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208531255",
"telephone_number": "240-994-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 CONNECTICUT AVE STE 215",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208953941",
"telephone_number": "240-994-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "08151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD BOARD OF SOCIAL WORK",
"identifier": "08151",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "prhpllc@gmail.com",
"affiliation": "N",
"endpointDescription": "psychotherapy practice email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "psychotherapy practice email address",
"address_1": "10400 Connecticut Ave Ste 215",
"city": "Kensington",
"state": "MD",
"country_code": "US",
"postal_code": "208953941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.