Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HYO JOON LEE LICSW
NPI 1134717317
Social Worker - Clinical in Lynnwood, WA

Active since January 04, 2021Opted out of Medicare · through Jan 13, 2028
4320 196TH ST SW STE B1166, LYNNWOOD, WA 98036(206) 717-5693 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Apr 10, 2024, Jan 4, 2021 (3 updates tracked since 2021).

About Hyo Joon Lee Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HYO JOON LEE LICSW (NPI 1134717317) is an individual clinical provider in Lynnwood, Washington, licensed in Washington (LW61094816) and active in the NPI registry since January 2021. He has opted out of Medicare through January 13, 2028.

NPPES Registry Identity

NPI1134717317
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameHYO JOON LEECredential: LICSW
Location Address4320 196TH ST SW STE B1166Lynnwood, WA 98036-6773
Mailing Address4320 196th St Sw Ste B1166Lynnwood, WA 98036-6773 · (206) 717-5693
Sole ProprietorNo
Enumeration DateJanuary 4, 2021
Last NPPES UpdateOctober 28, 20263 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1134717317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW61094816
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, 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.
4320 196TH ST SW STE B1166, Lynnwood, WA 98036

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Hyo Joon Lee Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 13, 2024 through January 13, 2028.

Opt-Out Effective DateJanuary 13, 2024
Opt-Out In Effect ThroughJanuary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4320 196TH ST SW STE B1166
LYNNWOOD, WA 98036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hyo Lee's NPI number?

The NPI number for Hyo Lee is 1134717317. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Hyo Lee located?

Hyo Lee practices at 4320 196th St SW Ste B1166, Lynnwood, WA 98036. The listed phone number is (206) 717-5693.

What is Hyo Lee's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Hyo Lee enrolled in Medicare?

No. Hyo Lee has opted out of Medicare through January 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Hyo Lee accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Hyo Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hyo Lee was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.