Provider Demographics
NPI:1467695635
Name:LEE, KAREN HEE (MSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:HEE
Last Name:LEE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 S LUCERNE BLVD APT 101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-4822
Mailing Address - Country:US
Mailing Address - Phone:310-435-1967
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD BLDG 206
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-460-9840
Practice Address - Fax:310-268-4378
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 258291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical