Active NPI
Mary Elizabeth Gladitsch, LCSWR
- Clinical Social Worker
- Warwick, NY
National Provider Identifier
1245390616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 073672R
- Practice address
- 205 Little York Rd
Warwick, NY 10990 - Phone
- (845) 742-8730
- Fax
- (845) 258-3009
- NPI assigned
- Dec 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW-R | NY | |
| Clinical Social Worker | 1041C0700X | 073672R | NY | Primary |
Addresses
Primary practice location
205 Little York Rd
Warwick, NY 10990
Mailing address
205 Little York Rd
Warwick, NY 10990
Phone (845) 742-8730
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 |
|---|---|---|---|
| LCSW-R | NY | MD | Mental Health Counselor |
| 073672R | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1245390616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LITTLE YORK RD",
"city": "WARWICK",
"state": "NY",
"postal_code": "10990",
"telephone_number": "845-742-8730",
"fax_number": "845-258-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 LITTLE YORK RD",
"city": "WARWICK",
"state": "NY",
"postal_code": "10990",
"telephone_number": "845-742-8730",
"fax_number": "845-258-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADITSCH",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCSWR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "LCSW-R",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "073672R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.