Active NPIIndividual providerSole proprietor

Phara Gladden, LCSW-R

Social Worker, Clinical in Spring Valley, New York

NPI Number1295081545
Practice location
36 West Hickory Street, Spring Valley, NY 10977
Fax
—
Last updated
July 24, 2012

Phara Gladden is a Social Worker, Clinical based in Spring Valley, NY. Phara Gladden practices in Spring Valley, NY and has the professional credentials of LCSW-R. The NPI Number for Phara Gladden is 1295081545 and holds a License No. R-075198 (NY). The current practice location address for Phara Gladden is 36 West Hickory Street, Spring Valley, NY 10977 and can be reached out via phone at 845-596-8006.

Provider Profile Details

NPI Number
1295081545
Provider Name
Phara Gladden
Credential
LCSW-R
Provider Entity Type
Individual
Gender
Female
Address
36 West Hickory Street, Spring Valley, NY 10977
Phone Number
845-596-8006
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2012
Last Update Date
July 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 West Hickory Street
Spring Valley, NY 10977
Zip
10977
Phone Number
845-596-8006
Spring Valley, NY 10977Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 105
Blauvelt, NY 10913
City
Blauvelt
State
NY
Zip
10913
Phone Number
845-596-8006

License Information

License Number
R-075198
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Phara Gladden, LCSW-R?

The NPI number of Phara Gladden, LCSW-R is 1295081545. It was assigned on July 24, 2012 and is currently active in the NPPES registry.

What is the specialty of Phara Gladden, LCSW-R?

Phara Gladden, LCSW-R is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R-075198.

Where does Phara Gladden, LCSW-R practice?

The practice location is 36 West Hickory Street, Spring Valley, NY 10977. The office can be reached at 845-596-8006 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295081545 directly on the NPPES registry website.

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