Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mina Lee, LCSW

Individual provider Clinical Social Worker · NPI 1164139515

Mina Lee, LCSW is a Clinical Social Worker in Oak Brook, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2020, 6 years ago. Practices with Keri Powell Therapy Inc, a 36-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1415 W 22nd St
Oak Brook, IL 60523-2074
Phone: (217) 352-0200
Fax: (217) 607-1139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2125 S Neil St, Champaign, IL 61820-7266 — (217) 352-0200

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149025044 (IL)

Record details

NPI number1164139515
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 3, 2022
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address2125 S Neil St, Champaign, IL 61820-7266

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2020 (6 years in practice)
Group practice Keri Powell Therapy Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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