Individual provider Active NPI

Gabrielle E Lee, LCSW

  • Clinical Social Worker
  • Simpsonville, SC
National Provider Identifier
1548887656
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017020 Issued in NC
Practice address
2607 Woodruff Rd Ste E
Simpsonville, SC 29681-3625
Phone
(864) 209-1859
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 117422 NY
Clinical Social Worker 1041C0700X C017020 NC Primary
Social Worker 104100000X 14538 SC
Social Worker 104100000X MSW010333 GA

Addresses

Primary practice location

2607 Woodruff Rd Ste E
Simpsonville, SC 29681-3625

Mailing address

204 Flagstar CT
Fountain Inn, SC 29644-8407
Phone (864) 903-5516

Other practice location 1

10 Patewood Dr Ste 150
Greenville, SC 29615-6349
Phone (864) 454-5612

Other practice location 2

831 Baxter St Ste 205
Charlotte, NC 28202-2719
Phone (704) 375-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240813002990 NC Practitioner - Clinical Social Worker 8820536550 Reassigns benefits to 1 organization
I20240819001342 SC Practitioner - Clinical Social Worker 8820536550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW010333GAMDSocial Worker
117422NYMDSocial Worker
14538SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gabrielle Lee MSW LLC Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 12, 2024 Accepting new patients
Prisma Health University Medical Group PastSince Dec 1, 2023 Accepting new patients
Prisma Health University Medical Group PastSince Dec 1, 2023 Accepting new patients
Pinnacle Family Services of North Carolina LLC Clinical PastSince Jul 1, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

2607 Woodruff Rd
Ste E
Simpsonville, SC 29681
Phone (513) 240-1181

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1548887656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 FLAGSTAR CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296448407",
            "telephone_number": "864-903-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 WOODRUFF RD STE E",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813625",
            "telephone_number": "864-209-1859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Patewood Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296156349",
            "country_code": "US",
            "telephone_number": "864-454-5612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "831 Baxter St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282022719",
            "country_code": "US",
            "telephone_number": "704-375-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "GABRIELLE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117422",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017020",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "14538",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW010333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.