Active NPIIndividual providerSole proprietor

Mr. Shawn L Gladden, LMSW

Counselor, Mental Health in Thiells, New York

NPI Number1306430251
Practice location
12 Ambery Ln, Thiells, NY 10984-1608
Fax
—
Last updated
February 22, 2021

Shawn Lamont Gladden is a Counselor, Mental Health based in Thiells, NY. Shawn Lamont Gladden practices in Thiells, NY and has the professional credentials of LMSW. The NPI Number for Shawn Lamont Gladden is 1306430251 and holds a License No. 085493 (NY). The current practice location address for Shawn Lamont Gladden is 12 Ambery Ln, Thiells, NY 10984-1608 and can be reached out via phone at 845-596-8004.

Provider Profile Details

NPI Number
1306430251
Provider Name
Shawn Lamont Gladden
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
12 Ambery Ln, Thiells, NY 10984-1608
Phone Number
845-596-8004
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2021
Last Update Date
February 22, 2021
Certification Date
February 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Ambery Ln
Thiells, NY 10984-1608
Zip
10984-1608
Phone Number
845-596-8004
Thiells, NY 10984Get directions →

Provider Business Mailing Address Details

Address
12 Ambery Ln
Thiells, NY 10984-1608
City
Thiells
State
NY
Zip
10984-1608
Phone Number
845-596-8004

License Information

License Number
085493
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

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

Other Counselor, Mental Health providers near Thiells, NY

View all Counselor, Mental Health providers in Thiells →

Frequently Asked Questions

What is the NPI number of Mr. Shawn L Gladden, LMSW?

The NPI number of Mr. Shawn L Gladden, LMSW is 1306430251. It was assigned on February 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. Shawn L Gladden, LMSW?

Mr. Shawn L Gladden, LMSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 085493.

Where does Mr. Shawn L Gladden, LMSW practice?

The practice location is 12 Ambery Ln, Thiells, NY 10984-1608. The office can be reached at 845-596-8004 (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 1306430251 directly on the NPPES registry website.

Browse related providers