Sean S. Lee, L.C.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SC06440700 Issued in NJ

Practice address

715 21St Ave
Lake Como, NJ 07719-2926

Phone

(732) 586-1054

NPI assigned

Jul 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mental Healthcare Connections of New Jersey LLC

  • Community/Behavioral Health Agency
  • Jackson, NJ
  • NPI 1760081541
  NPD Authorized official
• Mental Healthcare Connections of New Jersey, LLC

  • Clinical Social Worker
  • Lake Como, NJ
  • NPI 1083223218
  NPD Authorized official

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1972120350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LARSEN ROAD, APT 6305",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271860",
            "telephone_number": "856-502-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 21ST AVE",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077192926",
            "telephone_number": "732-586-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEAN",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-02-26",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06440700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulotta Chiropractic
• Joseph James Gulotta, DC
• Laine W Happel, LPC
• Elizabeth C Iadisernia, DPT
• John R Kohutanycz, PT, DPT
• Joseph J Louro, D.C.
• Mental Healthcare Connections of New Jersey, LLC
• Moises Moris Jr.
• Donna Bannon Peart, RD
• Elizabeth Piela, D.D.S.,M.S.,F.I.N.D.

• Social Worker in Lake Como, NJ
• Providers in Lake Como, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.