Healthcare Provider Details

I. General information

NPI: 1669398822
Provider Name (Legal Business Name): CAREN LEE, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 BEACH 69TH STREET
ARVERNE NY
11692
US

IV. Provider business mailing address

101 EISENHOWER PKWY STE 300
ROSELAND NJ
07068-1054
US

V. Phone/Fax

Practice location:
  • Phone: 347-378-6070
  • Fax:
Mailing address:
  • Phone: 347-378-6070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. CAREN LEE
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LCSW
Phone: 347-378-6070