Individual provider Active NPI

Gloria Seel, LSW

  • Clinical Social Worker
  • Egg Harbor TWP, NJ
National Provider Identifier
1023429677
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05790700 Issued in NJ
Practice address
6010 Black Horse Pike
Egg Harbor TWP, NJ 08234-9752
Phone
(609) 645-7601
Fax
(609) 383-2868
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW.0009920152 CO
Clinical Social Worker 1041C0700X 44SC05790700 NJ Primary

Addresses

Primary practice location

6010 Black Horse Pike
Egg Harbor TWP, NJ 08234-9752

Mailing address

6550 Delilah Rd Ste 301
Egg Harbor TWP, NJ 08234-5102
Phone (609) 272-8580

Other practice location 1

1330 S Potomac St
Suite 104A
Aurora, CO 80012-4527
Phone (303) 283-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009920152COMDSocial Worker
44SC05790700NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1023429677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 DELILAH RD STE 301",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345102",
            "telephone_number": "609-272-8580",
            "fax_number": "609-383-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BLACK HORSE PIKE",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082349752",
            "telephone_number": "609-645-7601",
            "fax_number": "609-383-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 S Potomac St",
            "address_2": "Suite 104A",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124527",
            "country_code": "US",
            "telephone_number": "303-283-5991",
            "fax_number": "303-283-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEL",
        "first_name": "GLORIA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009920152",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05790700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.