Individual ProviderShawn Phillip LeeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1580 W Columbia St, Farmington, MO 63640-3512(573) 760-1365PECOS EnrollmentBased on the most recent information from CMS, provider Shawn Phillip Lee does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1326376260Provider TypeIndividualFull NameLee, Shawn PhillipCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date12/4/2009Last Updated2/23/2015Contact InformationPractice LocationPractice Address1580 W Columbia St, Farmington, MO 63640-3512Phone(573) 760-1365Fax(573) 760-0354Mailing LocationMailing Address1580 W Columbia St, Farmington, MO 63640-3512Phone(573) 760-1365Fax(573) 760-0354Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2011038108Missouri