Active NPI
Lee R Paige Jr., LCSW
- Clinical Social Worker
- Greenville, MS
National Provider Identifier
1508983602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C0049
- Practice address
- 1654 E Union St
Greenville, MS 38703-3250 - Phone
- (662) 335-5274
- Fax
- (662) 378-3976
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C0049 | MS | Primary |
Addresses
Primary practice location
1654 E Union St
Greenville, MS 38703-3250
Mailing address
1654 E Union St
Greenville, MS 38703-3250
Phone (662) 335-5274
Other practice location 1
557 Grant Ferry Rd
Brandon, MS 39047
Phone (601) 665-4162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007970954 | Medicaid | MS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden Park | Past | Accepting new patients | |
| Delta Physician Practices | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1932437209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1508983602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1654 E UNION ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033250",
"telephone_number": "662-335-5274",
"fax_number": "662-378-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1654 E UNION ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033250",
"telephone_number": "662-335-5274",
"fax_number": "662-378-3976"
}
],
"practiceLocations": [
{
"address_1": "557 Grant Ferry Rd",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "MS",
"postal_code": "39047",
"country_code": "US",
"telephone_number": "601-665-4162",
"fax_number": "855-830-3484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAIGE",
"first_name": "LEE",
"middle_name": "R",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C0049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007970954",
"state": "MS"
}
],
"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 Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.