Dennis R. Glavan, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0895 Issued in NM

Practice address

714 Calle Don Diego
Espanola, NM 87532-3414

Phone

(505) 367-3342

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215056312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 MONTANA VISTA ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323275",
            "telephone_number": "505-753-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CALLE DON DIEGO",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323414",
            "telephone_number": "505-367-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVAN",
        "first_name": "DENNIS",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97282",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosario Garcia
• Sofia A Garcia, BMS
• Tracey E Garcia, L.M.S.W.
• Tina Marie Garland
• Jesse Garrett, PHARM.D.
• Clarence Wilfred Goddard, MA LADAC
• Cynthia Ann Goldblatt, LPCC
• Eric Golden
• Jennifer Gomez
• Edna Elizabeth Gonzales-Anzaldua, LISW,LADAC

• Clinical Social Worker in Espanola, NM
• Providers in Espanola, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.