Jeda Charlise Lee, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022571 Issued in NC

Practice address

1525 Falcon Rd
East Bend, NC 27018-8439

Phone

(336) 551-1140

NPI assigned

Jul 18, 2025

Sex

Female

Sole proprietor

No

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.

• Gaston Family Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • East Bend, NC
  • NPI 1598556102
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2025.

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1992697379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 FALCON RD",
            "city": "EAST BEND",
            "state": "NC",
            "postal_code": "270188439",
            "telephone_number": "336-551-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEDA",
        "middle_name": "CHARLISE",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward George Geisel, DDS
• Sherye Moore Hall, SPEECH PATHOLOGIST
• Crystal D Helmeid, LMBT
• Katrina Johnson
• Lindsee Mae Kyles, MSW, LCSWA
• Alyssa Dawn Maxie, LMHP-R, MA.
• Katherine Marie Medlin
• Neveah Human Services
• Kayla Noelle-Chambers Strickler, RN
• Triad Mobility

• All providers in East Bend, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.