Active NPI
Glenell M Lee, PH.D.
- Social Worker
- Greenville, MS
National Provider Identifier
1477815827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C1291
- Practice address
- 1656 E Union St
Greenville, MS 38703-3250 - Phone
- (662) 332-5360
- Fax
- (662) 332-5363
- NPI assigned
- Jun 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | C1291 | MS | Primary |
Addresses
Primary practice location
1656 E Union St
Greenville, MS 38703-3250
Mailing address
1656 E Union St
Greenville, MS 38703-3250
Phone (662) 332-5360
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1291 | MS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1477815827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 E UNION ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033250",
"telephone_number": "662-332-5360",
"fax_number": "662-332-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 E UNION ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033250",
"telephone_number": "662-332-5360",
"fax_number": "662-332-5363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GLENELL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "C1291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.