Active NPI
Gloria Galston
- Social Worker
- Tampa, FL
National Provider Identifier
1194184556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2084P0800X
- Practice address
- 12512 Bruce B Downs Blvd
Tampa, FL 33612-9209 - Phone
- (813) 972-2705
- Fax
- (813) 632-0933
- NPI assigned
- Feb 15, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2084P0800X | FL | Primary |
Addresses
Primary practice location
12512 Bruce B Downs Blvd
Tampa, FL 33612-9209
Mailing address
12512 Bruce B Downs Blvd
Tampa, FL 33612-9209
Phone (813) 972-2705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 692736000 | Medicaid | FL |
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 |
|---|---|---|---|
| 2084P0800X | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1194184556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12512 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129209",
"telephone_number": "813-972-2705",
"fax_number": "813-632-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12512 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129209",
"telephone_number": "813-972-2705",
"fax_number": "813-632-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALSTON",
"first_name": "GLORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "2084P0800X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "692736000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.