Individual provider Active NPI

Ah Hyun Lee, A.M., LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1972989440
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW105879 Issued in CA
Practice address
2211 Post St Ste 300
San Francisco, CA 94115-3442
Phone
(415) 489-0693
Fax
(650) 431-2908
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW105879 CA Primary

Addresses

Primary practice location

2211 Post St Ste 300
San Francisco, CA 94115-3442

Mailing address

2211 Post St Ste 300
Mailbox 11116
San Francisco, CA 94115
Phone (415) 489-0693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 20, 2023 through Jun 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW105879CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelli Clark Licensed Clinical Social Worker Professional Corporation Clinical PastSince Sep 4, 2022 Accepting new patients
Unihealth, Licensed Clinical Social Worker, Professional Corporation Clinical PastSince Sep 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1972989440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 POST ST STE 300",
            "address_2": "MAILBOX 11116",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-489-0693",
            "fax_number": "650-431-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 POST ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153442",
            "telephone_number": "415-489-0693",
            "fax_number": "650-431-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AH HYUN",
        "credential": "A.M., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW105879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.