Active NPI
Gay Lee
- Clinical Social Worker
- Newburgh, NY
National Provider Identifier
1982789020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 050834
- Practice address
- 450 Broadway
Newburgh, NY 12550-5333 - Phone
- (845) 784-4776
- Fax
- (646) 326-1936
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- 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 | 050834 | NY | Primary |
Addresses
Primary practice location
450 Broadway
Newburgh, NY 12550-5333
Mailing address
450 Broadway
Newburgh, NY 12550-5333
Phone (845) 565-1588
Other names 1
- Gay Lee
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050834 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gay Lee Corp | Clinical | Current | Accepting new patients |
| Legayse Corp | Clinical | Current | Accepting new patients |
Locations
450 Broadway
Newburgh, NY 12550
Phone (646) 326-1936
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Newburgh, NY
- NPI 1548727712
-
- Clinical Social Worker
- Newburgh, NY
- NPI 1063979565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1982789020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BROADWAY",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505333",
"telephone_number": "845-565-1588",
"fax_number": "646-326-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROADWAY",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505333",
"telephone_number": "845-784-4776",
"fax_number": "646-326-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GAY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "050834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GAY",
"last_name": "LEE",
"credential": "LCSW-R",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.