Provider Demographics
NPI:1215745070
Name:GAYLE, LYRONIE MELISSIA (LMSW)
Entity type:Individual
Prefix:MS
First Name:LYRONIE
Middle Name:MELISSIA
Last Name:GAYLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 OCEAN AVE APT C5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-3617
Mailing Address - Country:US
Mailing Address - Phone:929-331-5806
Mailing Address - Fax:
Practice Address - Street 1:10 CARMELLO RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1319
Practice Address - Country:US
Practice Address - Phone:845-500-1353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118641-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker