Active NPI
Gloria P Lott, LCSW
- Clinical Social Worker
- Cullman, AL
National Provider Identifier
1205000759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0591C
- Practice address
- 1909 Commerce Ave
Cullman, AL 35055-6151 - Phone
- (256) 734-4688
- NPI assigned
- Apr 16, 2008
- 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 | 0591C | AL | Primary |
Addresses
Primary practice location
1909 Commerce Ave
Cullman, AL 35055-6151
Mailing address
PO Box 2186
Cullman, AL 35056-2186
Phone (256) 734-4688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-93418 | Other | AL | BLUE CROSS BLUE SHIELD |
| 330000025 | Medicaid | AL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0591C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cullman Allkids Plus | Past | Accepting new patients | |
| Cullman Area Mental Health Authority, Inc | Past | Accepting new patients | |
| Mental Health Center of North Central Alabama Inc. | Past | Accepting new patients | |
| Northwest Lousiana Human Services District | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Cullman, AL
- NPI 1851566327
-
- Community/Behavioral Health Agency
- Cullman, AL
- NPI 1700989589
-
- Community/Behavioral Health Agency
- Decatur, AL
- NPI 1124193636
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Natchitoches, LA
- NPI 1366875874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1205000759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2186",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350562186",
"telephone_number": "256-734-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 COMMERCE AVE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350556151",
"telephone_number": "256-734-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "GLORIA",
"middle_name": "P",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "0591C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-93418",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330000025",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.