Active NPI
Ah Hyun Lee, A.M., LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1972989440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW105879
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW105879 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelli Clark Licensed Clinical Social Worker Professional Corporation | Clinical | Past | Accepting new patients |
| Unihealth, Licensed Clinical Social Worker, Professional Corporation | Clinical | Past | 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.
-
- Clinical Social Worker
- San Francisco, CA
- NPI 1376263319
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1437526209
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.