Active NPI
Katherine Kim Lee, LCSW
- Clinical Social Worker
- Santa Fe Springs, CA
National Provider Identifier
1962544080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS23867
- Practice address
- 11721 Telegraph Rd
A
Santa Fe Springs, CA 90670-3674 - Phone
- (562) 949-8455
- NPI assigned
- Feb 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW14892 | CA | |
| Clinical Social Worker | 1041C0700X | LCS23867 | CA | Primary |
Addresses
Primary practice location
11721 Telegraph Rd
A
Santa Fe Springs, CA 90670-3674
Mailing address
PO Box 3382
Cerritos, CA 90703
Phone (562) 833-8321
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW14892 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1962544080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3382",
"city": "CERRITOS",
"state": "CA",
"postal_code": "90703",
"telephone_number": "562-833-8321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH RD",
"address_2": "A",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703674",
"telephone_number": "562-949-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KATHERINE",
"middle_name": "KIM",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW14892",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS23867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.