Individual provider Active NPI

Amanda Rae Lee, MSW, LSW

  • Clinical Social Worker
  • Terre Haute, IN
National Provider Identifier
1982200986
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2151 Lafayette Ave, Suite 105
Terre Haute, IN 47805
Phone
(812) 814-4014
NPI assigned
Dec 7, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 Primary

Addresses

Primary practice location

2151 Lafayette Ave, Suite 105
Terre Haute, IN 47805

Mailing address

2481 N County Road 800 W
Sullivan, IN 47882-7153
Phone (765) 914-8887

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TherapyNotes.com

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reflective Perspectives Counseling, LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients
Coffee Clutch Counseling Services, LLC Clinical CurrentSince Dec 13, 2020 Accepting new patients

Locations

2151 Lafayette Ave
Ste 105
Terre Haute, IN 47805
Phone (812) 814-4014

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1982200986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 N COUNTY ROAD 800 W",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827153",
            "telephone_number": "765-914-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LAFAYETTE AVE, SUITE 105",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47805",
            "telephone_number": "812-814-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes.com",
            "affiliation": "N",
            "address_1": "2151 Lafayette Ave, Suite 105",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.