Active NPI
Edith Lee
- Social Worker
- Silver City, NM
National Provider Identifier
1609327253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-09729
- Practice address
- 1007 N Pope St
Silver City, NM 88061-5161 - Phone
- (575) 388-1511
- Fax
- (575) 313-8236
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- No
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 | M-09729 | NM | Primary |
Addresses
Primary practice location
1007 N Pope St
Silver City, NM 88061-5161
Mailing address
530 Demoss St.
Lordsburg, NM 88045-2618
Phone (575) 542-2307
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-09729 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1609327253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 DEMOSS ST.",
"city": "LORDSBURG",
"state": "NM",
"postal_code": "880452618",
"telephone_number": "575-542-2307",
"fax_number": "575-313-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 N POPE ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615161",
"telephone_number": "575-388-1511",
"fax_number": "575-313-8236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-09729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.