MEDICARE: MS. AMELIA E. LEE L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW6469	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043269749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMELIA E. LEE L.C.S.W.

Provider Business Mailing Address
First Line	:	PO BOX 540231
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33454-0231
Country	:	US
Telephone Number	:	561-308-4432
Fax Number	:	561-963-4481

Provider Business Practice Location Address
First Line	:	1499 FOREST HILL BLVD
Second Line	:	SUITE 115
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6050
Country	:	US
Telephone Number	:	561-308-4432
Fax Number	:	561-963-4481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	12/05/2018

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Directions to “ MS. AMELIA E. LEE L.C.S.W.” Practice Location

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