Active NPI
Gary W Lee LCSW LLC
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1285956441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-578
- Legal business name
- GARY W LEE LCSW LLC
- Practice address
- 600 N Curtis Rd
Suite 125
Boise, ID 83706-1449 - Phone
- (208) 376-6109
- Fax
- (208) 672-1787
- NPI assigned
- Feb 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary W Lee
- Title
- Owner
- Phone
- (208) 376-6109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-578 | ID | Primary |
Addresses
Primary practice location
600 N Curtis Rd
Suite 125
Boise, ID 83706-1449
Mailing address
5310 Ward Rd
Suite 106
Arvada, CO 80002-1832
Phone (303) 278-7418
National Provider Directory
National Provider DirectoryLocations
600 N Curtis Rd
Ste 125
Boise, ID 83706
Phone (208) 376-6109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272931200000",
"number": "1285956441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 WARD RD",
"address_2": "SUITE 106",
"city": "ARVADA",
"state": "CO",
"postal_code": "800021832",
"telephone_number": "303-278-7418",
"fax_number": "888-341-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N CURTIS RD",
"address_2": "SUITE 125",
"city": "BOISE",
"state": "ID",
"postal_code": "837061449",
"telephone_number": "208-376-6109",
"fax_number": "208-672-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY W LEE LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-15",
"last_updated": "2010-05-04",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-376-6109"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.