Modesta Lee is a Clinical in Staten Island, New York. Modesta Lee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Modesta Lee is 1669516514. The last update date is 2007-07-09.
Modesta Lee's current location address is 11 Saxon Ave, Staten Island, New York. You can contact this provider via phone number 7187617716 and fax number 7184770079. The mailing address for Modesta Lee is 11 Saxon Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Modesta Lee |
|---|---|
| Address | 11 Saxon Ave, Staten Island, New York |
| Phone Number | 7187617716 |
| Fax Number | 7184770079 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1669516514 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 11 Saxon Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103144813 |
| Phone Number | 7187617716 |
| Fax Number | 7184770079 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PRO015447 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1668675 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Modesta Lee by the Centers for Medicare & Medicaid Services (CMS)?
The Modesta Lee has been assigned the NPI (National Provider Identifier) 1669516514. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Modesta Lee?
The Modesta Lee is situated at 11 Saxon Ave, in the city of Staten Island, state of NY, with the zip code 103144813.
What is the area of specialization for Modesta Lee, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Modesta Lee is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Modesta Lee's 1669516514 issued?
The Modesta Lee's 1669516514 was issued on 2007-02-16.
As of what date were the details pertaining to Modesta Lee last refreshed?
The information related to the Modesta Lee, including its address, specialty, and other relevant details, was last updated on 2007-07-09.