Gloria T. Paknis, MSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00176000 Issued in NJ

Legal business name

GLORIA T. PAKNIS, MSW, LLC

Practice address

37 Kings Rd
Madison, NJ 07940-2500

Phone

(973) 377-3966

Fax

(973) 377-5931

NPI assigned

Jan 2, 2009

Last updated

Jan 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria T. Paknis, LCSW

Title

Social Worker

Phone

(973) 377-3966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1225274830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KINGS RD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402500",
            "telephone_number": "973-377-3966",
            "fax_number": "973-377-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KINGS RD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402500",
            "telephone_number": "973-377-3966",
            "fax_number": "973-377-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA T. PAKNIS, MSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "PAKNIS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "973-377-3966",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00176000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leticia Ramos Gonzalez, M.D.
• Meredith Gonzenbach, LPC
• Denise Gormley, ATC

• Clinical Social Worker in Madison, NJ
• Providers in Madison, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.