Look up the most recent NPI and PECOS records

Damita Lee

Social Worker

Behavioral Health & Social Service Providers

710 Mobjack Pl, Newport News, VA 23606-1957

(757) 933-0361 (804) 919-2620

PECOS Enrollment

Based on the most recent information from CMS, provider Damita Lee does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1073257341
Provider Type
Individual
Full Name
Lee, Damita
Credential
MSW, LMHP-S

Gender
Female
Sole Proprietor
No
Enumeration Date
4/23/2022
Last Updated
10/16/2025

Contact Information

Practice Location

710 Mobjack Pl, Newport News, VA 23606-1957

(757) 933-0361

Unlisted Fax

Mailing Location

201 Riverside Dr, Yorktown, VA 23692-3411

(804) 919-2620

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License 0906009753 Virginia

Damita Lee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Ellis, T. Nicole

Williams, Sara

O'Garro, Karimah Patrice

Harris, Cameo Tuesday

Rissling Matthews, Erin

Mensah, Chad

Campbell, Bethany Lynn

Nicholson, Anne B

Dandridge, Nicole Latrice

Allsopp, Andre Christopher