Active NPI
Crystal Glover, LCSW
- Clinical Social Worker
- Newburgh, IN
National Provider Identifier
1174094171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008346A
- Practice address
- 5155 Rosebud LN
Newburgh, IN 47630-9332 - Phone
- (812) 773-8321
- Fax
- (812) 993-1846
- NPI assigned
- Dec 17, 2018
- 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 | 34008346A | IN | Primary |
Addresses
Primary practice location
5155 Rosebud LN
Newburgh, IN 47630-9332
Mailing address
5155 Rosebud LN
Newburgh, IN 47630-9332
Phone (812) 773-8321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14375674 | Other | CAQH |
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 |
|---|---|---|---|
| 34008346A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1174094171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5155 ROSEBUD LN",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476309332",
"telephone_number": "812-773-8321",
"fax_number": "812-993-1846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5155 ROSEBUD LN",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476309332",
"telephone_number": "812-773-8321",
"fax_number": "812-993-1846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "CRYSTAL",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008346A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14375674",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.