Individual provider Active NPI

Constance Lee

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1912476839
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102925 Issued in CA
Practice address
5473 Kearny Villa Rd Ste 300
San Diego, CA 92123-1142
Phone
(619) 737-2768
Fax
(619) 264-0209
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 102925 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X 102925
Behavior Technician 106S00000X

Addresses

Primary practice location

5473 Kearny Villa Rd Ste 300
San Diego, CA 92123-1142

Mailing address

5473 Kearny Villa Rd Ste 300
San Diego, CA 92123-1142
Phone (619) 737-2768

Other practice location 1

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Phone (619) 398-0355

Other practice location 2

2351 Cardinal Ln, Annex B
San Diego, CA 92123-3743
Phone (858) 573-2227 ext. 4388

Other practice location 3

2141 Palomar Airport Rd Ste 350
Carlsbad, CA 92011-1451
Phone (760) 438-0078

Other names 1

  • Connie Lee Other name

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

State licenses

LicenseStateTypeSpecialty
102925CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hilber Psychological Services a Professional Corporation Mental Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1912476839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 KEARNY VILLA RD STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231142",
            "telephone_number": "619-737-2768",
            "fax_number": "619-264-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 KEARNY VILLA RD STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231142",
            "telephone_number": "619-737-2768",
            "fax_number": "619-264-0209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 Morena Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921103850",
            "country_code": "US",
            "telephone_number": "619-398-0355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Cardinal Ln, Annex B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921233743",
            "country_code": "US",
            "telephone_number": "858-573-2227 x4388",
            "fax_number": "858-496-2113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2141 Palomar Airport Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920111451",
            "country_code": "US",
            "telephone_number": "760-438-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CONSTANCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102925",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "102925",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.