Gary W Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW578 Issued in ID

Practice address

1965 S Eagle Rd
Ste 140
Meridian, ID 83642-9288

Phone

(208) 957-6514

Fax

(208) 957-6506

NPI assigned

Jan 4, 2007

Last updated

Aug 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zelus Recovery LLC

  • Community/Behavioral Health Agency
  • Meridian, ID
  • NPI 1376098533
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1003963638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S EAGLE RD",
            "address_2": "STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429288",
            "telephone_number": "208-957-6514",
            "fax_number": "208-957-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S EAGLE RD",
            "address_2": "STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429288",
            "telephone_number": "208-957-6514",
            "fax_number": "208-957-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GARY",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lee-Anderson, LMSW
• Austin Lee, P.A.
• Chantell Lee
• CHI-Chun Lee
• Elsa J. Lee, MD
• Jason Charles Lee, D.C.
• Jupiter Love Lee
• Kyung Jae Lee, PHARMD
• Stephanie Lee, PMHNP-BC
• Tami Sue Lee, CMT, LMT

• Clinical Social Worker in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.