Individual provider Active NPI

Donald Greg Gleason, LCSW

  • Clinical Social Worker
  • Houma, LA
National Provider Identifier
1144463159
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6209 Issued in LA
Practice address
1340 W Tunnel Blvd
Suite 200
Houma, LA 70360-2801
Phone
(985) 853-8550
Fax
(985) 853-8559
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6209 LA Primary

Addresses

Primary practice location

1340 W Tunnel Blvd
Suite 200
Houma, LA 70360-2801

Mailing address

1340 W Tunnel Blvd
Suite 212
Houma, LA 70360-2801
Phone (985) 853-8550

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6209LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1144463159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 W TUNNEL BLVD",
            "address_2": "SUITE 212",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602801",
            "telephone_number": "985-853-8550",
            "fax_number": "985-853-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 W TUNNEL BLVD",
            "address_2": "SUITE 200",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602801",
            "telephone_number": "985-853-8550",
            "fax_number": "985-853-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "DONALD",
        "middle_name": "GREG",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.