Active NPI
Azuree Lenae Purcell, LCSWA
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1922631282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P014391
- Practice address
- 175 W Franklin Blvd
Gastonia, NC 28052-4145 - Phone
- (704) 865-3529
- Fax
- (704) 865-3010
- NPI assigned
- Feb 14, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P014391 | NC | Primary |
Addresses
Primary practice location
175 W Franklin Blvd
Gastonia, NC 28052-4145
Mailing address
9700 Stoney Glen Dr Apt R
Mint Hill, NC 28227-0476
Phone (516) 590-5608
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 |
|---|---|---|---|
| P014391 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1922631282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 STONEY GLEN DR APT R",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282270476",
"telephone_number": "516-590-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 W FRANKLIN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524145",
"telephone_number": "704-865-3529",
"fax_number": "704-865-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "AZUREE",
"middle_name": "LENAE",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-14",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P014391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.