Individual provider Active NPI

Alexis Renee Lee, LSW

  • Clinical Social Worker
  • Medina, OH
National Provider Identifier
1942721675
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901881-SUPV Issued in OH
Practice address
246 Northland Dr Ste 200a
Medina, OH 44256-3440
Phone
(330) 725-9195
Fax
(330) 725-9187
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1501157 OH
Clinical Social Worker 1041C0700X I.1901881-SUPV OH Primary

Addresses

Primary practice location

246 Northland Dr Ste 200a
Medina, OH 44256-3440

Mailing address

246 Northland Dr Ste 200a
Medina, OH 44256-3440
Phone (330) 725-9195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250711003588 OH Practitioner - Clinical Social Worker 6709391410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1501157OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater Ohio CurrentSince Apr 19, 2025 Accepting new patients
Planned Parenthood of Greater Ohio Current Accepting new patients
Planned Parenthood of Greater Ohio CurrentSince Apr 19, 2025 Accepting new patients

Locations

444 W Exchange St
Akron, OH 44302
Phone (330) 535-2671

416 W Union St
Athens, OH 45701
Phone (740) 594-2271

2663 Cleveland Ave NW
Canton, OH 44709
Phone (330) 456-5329

25350 Rockside Rd
Ste 100
Cleveland, OH 44146
Phone (216) 961-8804

2186 Brookpark Rd
Cleveland, OH 44134
Phone (216) 661-0400

1511 W Broad St
Columbus, OH 43222
Phone (614) 222-2352

18 E 17th Ave
Columbus, OH 43201
Phone (614) 222-3604

384 Park Ave W
Mansfield, OH 44906
Phone (419) 525-3080

21016 Center Ridge Rd
Rocky River, OH 44116
Phone (440) 331-8744

1301 Jefferson Ave
Toledo, OH 43604
Phone (419) 255-1115

375 N Park Ave
Ste 1
Warren, OH 44481
Phone (330) 399-5104

77 E Midlothian Blvd
Youngstown, OH 44507
Phone (330) 788-2487

Organizations & group practices 3

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1942721675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR STE 200A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563440",
            "telephone_number": "330-725-9195",
            "fax_number": "330-725-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR STE 200A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563440",
            "telephone_number": "330-725-9195",
            "fax_number": "330-725-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEXIS",
        "middle_name": "RENEE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1501157",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901881-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.