Active NPI
Lili Nicole Glauber, LMSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1124343207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079755-1
- Practice address
- 2128 Rockaway Parkway
Institute for Community Living, Inc.
Brooklyn, NY 11236 - Phone
- (510) 418-4556
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 079755-1 | NY | Primary |
Addresses
Primary practice location
2128 Rockaway Parkway
Institute for Community Living, Inc.
Brooklyn, NY 11236
Mailing address
2128 Rockaway Parkway
Institute for Community Living, Inc.
Brooklyn, NY 11236
Phone (510) 418-4556
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 |
|---|---|---|---|
| 079755-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1124343207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 ROCKAWAY PARKWAY",
"address_2": "INSTITUTE FOR COMMUNITY LIVING, INC.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11236",
"telephone_number": "510-418-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 ROCKAWAY PARKWAY",
"address_2": "INSTITUTE FOR COMMUNITY LIVING, INC.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11236",
"telephone_number": "510-418-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAUBER",
"first_name": "LILI",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079755-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.