Mary Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1360C Issued in AL

Practice address

625 15TH St N
Pell City, AL 35125-1381

Phone

(205) 338-7525

Fax

(205) 836-9594

NPI assigned

Dec 12, 2011

Last updated

Dec 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary James Cooksey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastside Mental Health Center

  • Counselor
  • Birmingham, AL
  • NPI 1023283421
  NPD (past)

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1841568300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353000",
            "telephone_number": "205-836-7283",
            "fax_number": "205-836-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 15TH ST N",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251381",
            "telephone_number": "205-338-7525",
            "fax_number": "205-836-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1360C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COOKSEY",
            "middle_name": "JAMES",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ami Latham, CRNP
• James Paul Layne, R.PH.
• Leaps Academy Inc
• Anna Leduc
• Denise Lee, EDS, LPC, NCC
• Michael Lee, PH.D.
• Christina Jacquelin Legradi, DMD
• Claire Deshazer Leverton, D.M.D.
• David Sidney Lewis, MD
• Life Recovery Counseling, LLC

• Clinical Social Worker in Pell City, AL
• Providers in Pell City, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.