MEDICARE: MS. CATHERINE MARGARET LEE LCSW

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	0904014085	VA

General Provider Information

NPI Number	:	1851458855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE MARGARET LEE LCSW

Provider Business Mailing Address
First Line	:	417 S PAYNE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-5944
Country	:	US
Telephone Number	:	703-967-5185
Fax Number	:	571-458-7721

Provider Business Practice Location Address
First Line	:	417 S PAYNE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-5944
Country	:	US
Telephone Number	:	703-967-5185
Fax Number	:	571-458-7721

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	02/06/2025

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