Robert T Lee Foundation LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROBERT T LEE FOUNDATION LLC

Practice address

610 Thimble Shoals Blvd # 403
Newport News, VA 23606-2573

Phone

(901) 672-2228

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jarvis Donnell Lee, LCSWNPI 1740765437

Title

Ceo

Phone

(901) 672-2228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarvis D Lee

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1740765437
  Medicare reassignment NPD Authorized official
• Keona Lee, LCSW

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1467241299
  NPD

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649462400000",
    "number": "1982360079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HARWOOD AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236641044",
            "telephone_number": "901-672-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD # 403",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062573",
            "telephone_number": "901-672-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T LEE FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_middle_name": "DONNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-672-2228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RN the Know
• Nathaniel Argis Steven Roach, LPC
• Ethel Taylor Roane, RN
• Simone Robb, DO
• Samantha Robbins
• Roberts Home Medical LLC
• Adorae Roberts-Luke
• Angie Coretta Roberts, PH.D.
• Christopher Roberts, PA-C
• Caresa Renee Robertson Carter

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.