THEODORE TAEWOO LEE (NPI# 1245428945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245428945 |
| Entity Type | Individual |
| Full Name | THEODORE TAEWOO LEE |
| Credential | LCSW |
| Practice Address |
80 Great Oaks Blvd San Jose CA 95119-1310 |
| Practice Telephone | 4083633000 |
| Practice Fax Number | 4083633406 |
| Mailing Telephone | 4083633000 |
| Mailing Fax Number | 4083633406 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2012-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
27274 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154550176 | Theodore C Lee | Internal Medicine | 8035 189th St, Jamaica, NY 11423-1034 | 2009-07-12 |
| 1154716967 | Theodore Lee | Allergy & Immunology | 72 E Concord St, Boston, MA 02118 | 2015-03-30 |
| 1912311234 | Theodore Tak Lee | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2014-06-14 |
| 1518034438 | Theodore F. Lee | Internal Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1275558900 | Theodore T. Lee | Internal Medicine | 7975 Lake Underhill Rd, Suite 200, Orlando, FL 32822-8202 | 2006-07-13 |
| 1689606881 | Theodore Mark Lee | Allergy & Immunology | 1800 Peachtree St. Nw, Suite 720, Atlanta, GA 30309-2511 | 2006-07-07 |
| 1083656193 | Theodore J. Lee | Radiology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2006-06-12 |
| 1043218308 | Theodore Lee | Radiology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-07-11 |
| Street Address |
80 GREAT OAKS BLVD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609844729 | Marion Jean Hogan | Nurse Practitioner | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2006-03-14 |
| 1033631205 | Nichole E Imamura-sperling | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2017-07-10 |
| 1326570706 | Joanna Michaels | Social Worker | 80 Great Oaks Blvd, B-209, San Jose, CA 95119-1310 | 2017-04-03 |
| 1184176752 | Linda Woodsmall | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2016-10-31 |
| 1053786780 | Patricia Ann Ash Moore | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2015-12-07 |
| 1457721128 | Russell Schnurr | Social Worker | 80 Great Oaks Blvd, 180d, San Jose, CA 95119-1310 | 2015-10-06 |
| 1003206244 | Va Palo Alto Healthcare System | Clinic/Center | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2015-01-26 |
| 1700284932 | Thanh Nga Thi Do | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2014-12-22 |
| 1417387002 | Va | Psychiatric Unit | 80 Great Oaks Blvd, San Jose, CA 95119 | 2013-11-18 |
| 1295099331 | Angel Yu | Pharmacist | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633708 | Efrat Shemesh Katan | Social Worker | 1025 Wunderlich Dr, San Jose, CA 95129-3159 | 2020-06-09 |
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1083236905 | Carey Gil | Social Worker | 1885 The Alameda Ste 120, San Jose, CA 95126-1732 | 2020-05-13 |
| 1912555996 | Marie Danh | Social Worker | 701 Miller St, San Jose, CA 95110-2121 | 2019-09-03 |
| 1194203497 | Janet Caudillo | Social Worker | 373 W Julian St, San Jose, CA 95110-2319 | 2018-07-30 |
| 1699267971 | Wendy Shapiro | Social Worker | 1245 S Winchester Blvd Ste 306, San Jose, CA 95128-3908 | 2018-06-03 |
| 1871099523 | Elisse Reyna | Social Worker | 2670 S White Rd Ste 170, San Jose, CA 95148-2071 | 2018-04-02 |
| 1487166062 | Giorgio Andrea Quittan I | Social Worker | 1046 W Taylor St Ste 204, San Jose, CA 95126-1815 | 2017-11-03 |
| 1942712211 | Zenon Post | Social Worker | 31 N 2nd St # 265, San Jose, CA 95113-1231 | 2017-10-26 |
| 1578010526 | Gayle Peitso | Social Worker | 15780 Highland Dr, San Jose, CA 95127-1741 | 2016-09-07 |
| Find all providers in SAN JOSE | ||||
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| 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.