Tomikka Kimberly Lee, LCSW61843
Tomikka Kimberly Lee, LCSW61843 is a Clinical Social Worker in Suisun City, California. Qualified in 2004, 22 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 22
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1 Harbor Ctr Ste 240Suisun City, CA 94585-2449
Phone: (559) 999-9871
Fax: (707) 981-4350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1745 Enterprise Dr, Fairfield, CA 94533-5801 — (559) 999-9871
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 61843 (CA) |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1558435230 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW61843 |
| Sole proprietor | No |
| NPI enumerated | November 17, 2006 |
| Last updated in NPPES | January 13, 2023 |
| Certification date | January 13, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Sud Specialty Group - Ca — 499 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |