Mary Alice Lee

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7573-S Issued in NV

Practice address

11380 S Virginia St Apt 1834
Reno, NV 89511-8263

Phone

(775) 223-5119

NPI assigned

Apr 5, 2018

Last updated

Apr 5, 2018By 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

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care- Pasadena

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1861959298
  Medicare reassignment NPD
• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care- DeSoto

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1689491581
  NPD

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1932606068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 S VIRGINIA ST APT 1834",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118263",
            "telephone_number": "775-223-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 S VIRGINIA ST APT 1834",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118263",
            "telephone_number": "775-223-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7573-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jquan Lee
• Judy Lee
• Julia Lee, PHARMD
• Laura Lee
• Laurissa Ann Lee, DO
• Maurice Lee
• Monica Tricia Lee, DDS
• Samuel Lee, MD
• Selina Jasmine Lee
• Serena Lee

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.