THEODORE TAEWOO LEE LCSW
NPI 1245428945
Social Worker - Clinical in San Jose, CA

Q: What is Theodore Lee's NPI number?

The NPI number for Theodore Lee is 1245428945. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Q: What is Theodore Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Lee was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since October 09, 2007

80 GREAT OAKS BLVD, SAN JOSE, CA 95119(408) 363-3000(408) 363-3406 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theodore Taewoo Lee Lcsw NPPES

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

THEODORE TAEWOO LEE LCSW (NPI 1245428945) is an individual clinical provider in San Jose, California, licensed in California (27274) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1245428945

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameTHEODORE TAEWOO LEECredential: LCSW

Location Address80 GREAT OAKS BLVDSan Jose, CA 95119-1310

Mailing Address80 Great Oaks BlvdSan Jose, CA 95119-1310 · (408) 363-3000 · Fax (408) 363-3406

Phone(408) 363-3000

Fax(408) 363-3406

Sole ProprietorYes

Enumeration DateOctober 9, 2007

Last NPPES UpdateJuly 24, 2012

✔ NPI 1245428945 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 CA · 27274

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.

80 GREAT OAKS BLVD, San Jose, CA 95119

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Other Providers at the Same Location NPPES 20

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

VA PALO ALTO HEALTHCARE SYSTEM

Clinic/Center (VA)