Provider Demographics
NPI:1801410279
Name:LOVETT, LEE GILSON III (LCSW-C)
Entity Type:Individual
Prefix:MR
First Name:LEE
Middle Name:GILSON
Last Name:LOVETT
Suffix:III
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7920 CINDY LN
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6911
Mailing Address - Country:US
Mailing Address - Phone:301-785-5149
Mailing Address - Fax:
Practice Address - Street 1:751 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1142
Practice Address - Country:US
Practice Address - Phone:301-339-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25894104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker