Active NPI
Gloria J Cameron, MSW LCSW
- Clinical Social Worker
- Norwich, CT
National Provider Identifier
1063585172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000480
- Practice address
- 401 West Thames Street
Southeastern Mental Health Authority BLDG 301
Norwich, CT 06360 - Phone
- (860) 859-4674
- Fax
- (860) 859-4790
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000480 | CT | Primary |
Addresses
Primary practice location
401 West Thames Street
Southeastern Mental Health Authority BLDG 301
Norwich, CT 06360
Mailing address
401 West Thames Street
Southeastern Mental Health Authority BLDG 301
Norwich, CT 06360
Phone (860) 859-4674
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000480 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Past | Accepting new patients | |
| State of Connecticut | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
-
- Adult Mental Health Clinic/Center
- Norwich, CT
- NPI 1902831548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063585172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WEST THAMES STREET",
"address_2": "SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-859-4674",
"fax_number": "860-859-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WEST THAMES STREET",
"address_2": "SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-859-4674",
"fax_number": "860-859-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "GLORIA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "000480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.