Renee Yvonne Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020563 Issued in IL

Practice address

4550 W 103Rd St Ste 302B
Oak Lawn, IL 60453-4868

Phone

(773) 280-5675

Fax

(773) 873-5333

NPI assigned

Mar 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Renee Yvonne Smith Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Proviso-Leyden Council for Community Action Inc

  • Adult Mental Health Clinic/Center
  • Maywood, IL
  • NPI 1306653613

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1952937229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W 103RD ST STE 302B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534868",
            "telephone_number": "773-280-5675",
            "fax_number": "773-873-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 103RD ST STE 302B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534868",
            "telephone_number": "773-280-5675",
            "fax_number": "773-873-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Madison St",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601532136",
            "country_code": "US",
            "telephone_number": "708-450-3500 x289",
            "fax_number": "708-236-5184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "RENEE",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "SMITH",
            "middle_name": "YVONNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eleanor Heejin Lee, DO
• Ham Nyung Lee, MD
• Isaac Lee, DMD
• Jane Kayle Jaein Lee, M.D.
• Michael Lee Jr., DMD
• Nathan Lehocky
• Megan Leitner
• Kyle Lejeune, LCSW
• Lauryn Genevieve Lellos
• Natalie Marie Lemon

• Clinical Social Worker in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.