Gloria Avery, LCSW , 'R'

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

030876 Issued in NY

Practice address

450 W 42ND St Apt 15C
New York, NY 10036-6871

Phone

(212) 960-8560

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jamie Gloria Avery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1013170216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W 42ND ST APT 15C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366871",
            "telephone_number": "212-960-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W 42ND ST APT 15C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366871",
            "telephone_number": "212-960-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "GLORIA",
        "name_prefix": "Ms.",
        "credential": "LCSW , 'R'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "030876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "AVERY",
            "middle_name": "GLORIA",
            "prefix": "MS.",
            "credential": "LCSWR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ella Averbukh
• Socrates Averia
• Adrian Averion, PMHNP
• Meghan Aversa, MD
• Avery Psychiatry PLLC
• James Alan Avery, M.D.
• Jonathan Avery, M.D.
• Ruth Avery
• Vahagn Avesian
• Olivia Aveson, PHD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.