SUSAN LEE (NPI# 1003230657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003230657 |
Entity Type | Individual |
Full Name | SUSAN LEE |
Practice Address |
12086 Ft.caroline Rd Suite 401 Jacksonville FL 32225-1536 |
Mailing Address |
12086 Fort Caroline Rd Jacksonville FL 32225-2687 |
Practice Telephone | 9045651271 |
Practice Fax Number | 9046457325 |
Mailing Telephone | 9045651271 |
Mailing Fax Number | 9046457325 |
Enumeration Date | 2014-02-18 |
Last Update Date | 2015-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW2323 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE LICENSE | SW2323 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811534878 | Susan Lee | Pharmacist | 9362 Canterbury Ln, Garden Grove, CA 92841-3415 | 2019-12-09 |
1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
1134564453 | Susan Ming Lee | Anesthesiology | 521 Parnassus Ave Rm C455, Box 0648, San Francisco, CA 94143-2206 | 2013-04-30 |
1144453267 | Susan S Lee | Student in an Organized Health Care Education/Training Program | 1700 Oak Ave Ste 7, Muskegon, MI 49442-2407 | 2009-08-25 |
1740422724 | Susan Lee | Physical Therapist | 1709 Avenue X, Brooklyn, NY 11235-3531 | 2009-04-06 |
1417195017 | Susan Lee | Dentist | 618 W Jones St, Suite 104, Raleigh, NC 27603-1409 | 2009-02-04 |
1497993083 | Susan I Lee | Speech-Language Pathologist | 44444 Paul's Crossing Rd., Richfield, NC 28137 | 2009-02-04 |
1194979054 | Susan Elaine Lee | Nurse Practitioner | 555 Convention Center Boulevard, New Orleans, LA 70115-1649 | 2008-11-05 |
1710147822 | Susan Jane Lee | Physical Therapist | 5645 Saint Claire Way, Citrus Heights, CA 95621-7339 | 2008-06-11 |
1992975957 | Susan Jung Lee | Family Medicine | 27231 La Paz Rd Ste A, Laguna Niguel, CA 92677-3627 | 2008-03-06 |
Street Address |
12086 FT.CAROLINE RD SUITE 401 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32225-1536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
Find all providers in zip 32225 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336748193 | Sophia Venditti | Social Worker | 2598 Post St # 1, Jacksonville, FL 32204-4256 | 2020-10-22 |
1629676093 | My Journey, LLC | Social Worker | 13453 N Main St Ste 204, Jacksonville, FL 32218-2773 | 2020-10-16 |
1104423524 | Sonya Young | Social Worker | 920 Bridier St, Jacksonville, FL 32206-5904 | 2020-10-08 |
1043823115 | Sierra Lashonda Murray | Social Worker | 9246 Thunderbolt Dr, Jacksonville, FL 32221-8052 | 2020-08-28 |
1235741901 | Deidra Lewis | Social Worker | 4480 Deerwood Lake Pkwy Unit 134, Jacksonville, FL 32216-2255 | 2020-08-23 |
1497365456 | Darlene Denise Rolle- Cargill | Social Worker | 14050 Integra Dr Apt 420, Jacksonville, FL 32218-2592 | 2020-08-05 |
1689282626 | Andrea Kristin Perkinson | Social Worker | 128 Plow Point Ln, Jacksonville, NC 28546-9591 | 2020-07-15 |
1255956371 | Noel Roman | Social Worker | 11775 Carson Lake Dr W, Jacksonville, FL 32221-3812 | 2020-06-15 |
1285257535 | Phaith Coaching & Counseling, LLC | Social Worker | 4940 Emerson St, Jacksonville, FL 32207-4963 | 2020-05-21 |
1407478613 | Mara's Lighthouse Counseling Center, LLC | Social Worker | 6015 Morrow St E Ste 114, Jacksonville, FL 32217-2125 | 2020-05-11 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32225 |
Please comment or provide details below to improve the information on SUSAN LEE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.