Organization Active NPI

Gary W Lee LCSW LLC

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1285956441
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-578 Issued in ID
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

Updated by the provider on May 4, 2010

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.