Peggie Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60549 Issued in CA

Practice address

3433 Golden Gate Way Ste a
Lafayette, CA 94549-4541

Phone

(925) 385-3110

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1992903199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 GOLDEN GATE WAY STE A",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494541",
            "telephone_number": "925-385-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 GOLDEN GATE WAY STE A",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494541",
            "telephone_number": "925-385-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 E 12th St Ste 259",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012940",
            "country_code": "US",
            "telephone_number": "510-269-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "PEGGIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21938",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "60549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Arthur Lauritzen, D.D.S.
• Kip Leake
• Emily Lebloch, MA, BCBA
• Mark Leclerc, M.D.
• Chris Chan Lee
• Skyler Lee
• Victoria Lee, PH.D.
• Joseph Leem
• Grant Scot Leitheiser, LMFT, PPSC
• Brandon Leong

• Clinical Social Worker in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.