Su Jin Lee, M.S., CCC-SLP
NPI 1730528373ActiveIndividual· Speech-Language Pathologist· Clarksville, TN
Speech-Language Pathologist (M.S., CCC-SLP) with Legacy Healthcare Services Inc and 1 other group, practicing in Clarksville, Tennessee. Medicare paid $10,027 for services to 14 patients in 2024.
Overview
| NPI | 1730528373 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Jun 17, 2013 |
| Last updated in NPPES | Mar 6, 2025 |
| Certified by provider | Mar 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 4980 | TN |
| Speech-Language Pathologist | 235Z00000X | 17738 | CA |
| Speech-Language Pathologist | 235Z00000X | 4230 | KY |
| Speech-Language Pathologist | 235Z00000X | 1229 | ND |
| Speech-Language Pathologist | 235Z00000X | 8971 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (KY); Practitioner - Qualified Speech Language Pathologist (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 270 across 6 procedure codes |
| Paid by Medicare | $10,027 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Empowerme Rehabilitation LLCMt Juliet, TN · 410 clinicians
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All 170 speech-language pathologists in Clarksville · All speech-language pathologists in Tennessee