SUSAN LEE


Address: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225-1536
Phone: 9045651271

SUSAN LEE (NPI# 1003230657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW2323 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE LICENSE SW2323 01

Other Providers SUSAN LEE

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1811534878 Susan Lee Pharmacist 9362 Canterbury Ln, Garden Grove, CA 92841-3415 2019-12-09
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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

Office Location

Street Address 12086 FT.CAROLINE RD SUITE 401
City JACKSONVILLE
State FL
Zip Code 32225-1536

Providers in the same zip code

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
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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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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
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Competitor

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City JACKSONVILLE
Zip Code 32225

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Dataset Information

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.

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