Active NPI
Lyronie Melissia Gayle, LMSW
- Social Worker
- Newburgh, NY
National Provider Identifier
1215745070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 118641-01
- Practice address
- 10 Carmello Rd
Newburgh, NY 12550-1319 - Phone
- (845) 500-1353
- NPI assigned
- Dec 26, 2024
- Last updated
- Dec 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 118641-01 | NY | Primary |
Addresses
Primary practice location
10 Carmello Rd
Newburgh, NY 12550-1319
Mailing address
55 Ocean Ave Apt C5
Brooklyn, NY 11225-3617
Phone (929) 331-5806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118641-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1215745070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 OCEAN AVE APT C5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253617",
"telephone_number": "929-331-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CARMELLO RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501319",
"telephone_number": "845-500-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYLE",
"first_name": "LYRONIE",
"middle_name": "MELISSIA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-26",
"last_updated": "2024-12-26",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "118641-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.