Individual provider Active NPI

Sherry Glore, L.C.S.W.

  • Social Worker
  • Bronx, NY
National Provider Identifier
1194970079
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R026271-1 Issued in NY
Practice address
43 Schofield St
Bronx, NY 10464-1531
Phone
(718) 885-1167
Fax
(718) 885-1167
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R026271-1 NY Primary

Addresses

Primary practice location

43 Schofield St
Bronx, NY 10464-1531

Mailing address

43 Schofield St
Bronx, NY 10464-1531
Phone (718) 885-1167

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

LicenseStateTypeSpecialty
R026271-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1194970079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SCHOFIELD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641531",
            "telephone_number": "718-885-1167",
            "fax_number": "718-885-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SCHOFIELD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641531",
            "telephone_number": "718-885-1167",
            "fax_number": "718-885-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLORE",
        "first_name": "SHERRY",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R026271-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.