Active NPI
Gary Ronald Lester, LCSW
- Clinical Social Worker
- Jackson, GA
National Provider Identifier
1760626444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW002890
- Practice address
- 176 Indian Springs St
Jackson, GA 30233-2124 - Phone
- (678) 447-5063
- Fax
- (770) 775-5118
- NPI assigned
- Apr 27, 2009
- 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 | CSW002890 | GA | Primary |
Addresses
Primary practice location
176 Indian Springs St
Jackson, GA 30233-2124
Mailing address
PO Box1818
Jackson, GA 30233-4164
Phone (678) 447-5063
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1760626444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX1818",
"city": "JACKSON",
"state": "GA",
"postal_code": "302334164",
"telephone_number": "678-447-5063",
"fax_number": "770-775-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 INDIAN SPRINGS ST",
"city": "JACKSON",
"state": "GA",
"postal_code": "302332124",
"telephone_number": "678-447-5063",
"fax_number": "770-775-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTER",
"first_name": "GARY",
"middle_name": "RONALD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-27",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW002890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.