Active NPIOrganization

Phara Gladden,lcsw,pllc

Social Worker, Clinical in Pomona, New York

NPI Number1457709529
Practice location
978 Route 45, Suite 104, Pomona, NY 10970-3521
Fax
—
Last updated
May 31, 2016

Phara Gladden,lcsw,pllc is a healthcare organization based in Pomona, NY. Phara Gladden,lcsw,pllc practices in Pomona, NY. The NPI Number for Phara Gladden,lcsw,pllc is 1457709529 and holds a License No. 075198 (NY). The current practice location address for Phara Gladden,lcsw,pllc is 978 Route 45, Suite 104, Pomona, NY 10970-3521 and can be reached out via phone at 845-596-8006.

Provider Profile Details

NPI Number
1457709529
Provider Name
Phara Gladden,lcsw,pllc
Provider Entity Type
Organization
Address
978 Route 45, Suite 104, Pomona, NY 10970-3521
Phone Number
845-596-8006
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Mrs. Phara Gladden, LCSW-R · Clinical Social Worker · 845-596-8006
Provider Enumeration Date
May 31, 2016
Last Update Date
May 31, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
978 Route 45
Suite 104
Pomona, NY 10970-3521
City
Pomona
Zip
10970-3521
Phone Number
845-596-8006
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
Po Box 20
Blauvelt, NY 10913-0020
City
Blauvelt
State
NY
Zip
10913-0020
Phone Number
845-596-8006

License Information

License Number
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,pllc?

The NPI number of Phara Gladden,lcsw,pllc is 1457709529. It was assigned on May 31, 2016 and is currently active in the NPPES registry.

What is the specialty of Phara Gladden,lcsw,pllc?

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

Where does Phara Gladden,lcsw,pllc practice?

The practice location is 978 Route 45, Suite 104, Pomona, NY 10970-3521. 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 1457709529 directly on the NPPES registry website.

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