National Provider Identifier

Rebecca Lee, LCSW

Rebecca Lee, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (612) 226-5902.

NPI 1285102236Ithaca, NYClinical Social Worker

Profile Overview

NPI
1285102236
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
November 07, 2018
Last Updated
May 06, 2022

Practice Location

  • 950 Danby RD Ste 129
  • Ithaca, NY 14850-5731

Phone: (612) 226-5902

Mailing Address

  • 213 Tioga St Unit 6883
  • Ithaca, NY 14851-8070

Specialties

  • Clinical Social Worker (1041C0700X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1285102236
Entity Type
Individual
Last Name
Lee
First Name
Rebecca
Credential
LCSW
Mailing Street Address
213 Tioga St Unit 6883
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14851-8070
Mailing Country
US
Mailing Phone
(612) 226-5902
Practice Street Address
950 Danby RD Ste 129
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5731
Practice Country
US
Practice Phone
(612) 226-5902
Enumeration Date
November 07, 2018
Last Updated
May 06, 2022
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 2
193400000X Single Specialty Group
Certification Date
May 06, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)