Christina R Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14726 Issued in FL

Practice address

395 Palm Coast Pkwy SW Unit 4
Palm Coast, FL 32137-4768

Phone

(904) 512-0018

Fax

(904) 260-0044

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cleetherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palm Coast, FL
  • NPI 1700445350
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1992298921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 CREST DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063503",
            "telephone_number": "904-512-0018",
            "fax_number": "904-260-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PALM COAST PKWY SW UNIT 4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374768",
            "telephone_number": "904-512-0018",
            "fax_number": "904-260-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTINA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
• Nanci Marie Lechler, OCCOPATIONAL THERAPY
• Alexandra Lee
• Caitlin Lee
• Cherl Lynn Lee
• Mia Lee
• Brenda J. Legaspi, LCSW
• Achrael Adina Legrottaglie
• Jenissa Denee Leite Da Silva, PA-C
• Brandy Lemon, FNP-C

• Clinical Social Worker in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.