| Carolynn Lee Msw Llc | |
|
121 Prosperous Pl Ste 4a Lexington KY 40509-1828 | |
| (859) 333-1009 | |
| Not Available |
| Full Name | Carolynn Lee Msw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 121 Prosperous Pl Ste 4a, Lexington, Kentucky |
| Authorized Official Name and Position | Carolynn Nicole Lee (OWNER) |
| Authorized Official Contact | 8593331009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolynn Lee Msw Llc 121 Prosperous Pl Ste 4a Lexington KY 40509-1828 Ph: (859) 333-1009 | Carolynn Lee Msw Llc 121 Prosperous Pl Ste 4a Lexington KY 40509-1828 Ph: (859) 333-1009 |
| NPI Number | 1891427936 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Medicare PECOS PAC ID | 9032587761 |
|---|---|
| Medicare Enrollment ID | O20221130000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891427936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolynn Nicole Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619237104 PECOS PAC ID: 0941678676 Enrollment ID: I20221130000883 |
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