Individual provider · Type 1 NPI

Keianna Lee

Clinical Social Worker · San Diego, CA

NPI number 1174359491 Active

Practice location

1465 30th St Ste K
San Diego, CA 92154-3497

Call (619) 428-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW140195 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1174359491

Keianna Lee's National Provider Identifier is 1174359491, issued on Sep 12, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 27, 2026.