MS. BONNIE MAE LEE (MSW) – Clinical Social Worker, NPI 1144310194

MS. BONNIE MAE LEE (MSW) is a healthcare provider. based in De pere, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 3093-123 (WI). The NPI Number for MS. BONNIE MAE LEE (MSW) is 1144310194

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MS. BONNIE MAE LEE (MSW)
NPI
1144310194
Phone
(920) 347-3500
Address
2200 DICKINSON ROAD
Enumeration Date
13 October 2006
Last Update Date
6 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204254900
Graduation Year
1996 (30 years ago)
PAC ID
6709295645
Group Practice PAC ID
7113390972
Professional Enrollment ID
I20210506000745
Address ID
WI541152571DE301XXBROA302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for MS. BONNIE MAE LEE (MSW)

  • The LedgeCrest Reserve, 2200, Dickinson Road, De Pere, Town of Ledgeview, Brown County, Wisconsin, 54115, United States

    UNIT 4 B

    DE PERE, WI 54115

    Phone: (920) 347-3500

    Fax: (920) 347-3501

    Type: Location

  • Greenleaf Road, Holland Road, Ulu Pandan, Bukit Timah, Central Region, Singapore, 279417, Singapore

    GREENLEAF, WI 541269323

    Phone: (920) 864-2809

    Type: Mailing

  • 1090 S TAMIAMI TRL

    SARASOTA, FL 342369116

    Phone: (904) 605-4986

    Fax: (941) 460-5599

    Type: Mailing

  • 2270 HOLMGREN WAY

    GREEN BAY, WI 543044710

    Phone: (920) 544-5294

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210506000745IClinical Social WorkerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113390972View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerWI
Mental Health CounselorWI
Clinical Social WorkerID
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

What federal number belongs to MS. BONNIE MAE LEE (MSW)?
The federal identifier for MS. BONNIE MAE LEE (MSW) is NPI 1144310194.
Is MS. BONNIE MAE LEE (MSW) active in the national directory?
MS. BONNIE MAE LEE (MSW)'s public NPI profile is in an active state.
Does MS. BONNIE MAE LEE (MSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MS. BONNIE MAE LEE (MSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. BONNIE MAE LEE (MSW)?
The page summarizes De Pere, Wisconsin for MS. BONNIE MAE LEE (MSW); expand the address list for detail.
Is MS. BONNIE MAE LEE (MSW) a real provider?
This page reflects official NPPES data for NPI 1144310194. Always confirm identity and privileges with the practice and licensing boards.

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