Active NPI
Gladys Salas, LCSW
- Clinical Social Worker
- Brandon, FL
National Provider Identifier
1245408319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW2547
- Practice address
- 1602 Oakfield Dr
Ste 205
Brandon, FL 33511-0827 - Phone
- (813) 973-1304
- Fax
- (813) 355-5024
- NPI assigned
- Feb 12, 2008
- Last updated
- Aug 22, 2016
- 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 | SW2547 | FL | Primary |
Addresses
Primary practice location
1602 Oakfield Dr
Ste 205
Brandon, FL 33511-0827
Mailing address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 528-4975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01681399 | Other | FL | RR MEDICARE |
Other names 1
- Gladys Salas Berrios
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lutz, FL
- NPI 1033919121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1245408319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38135 MARKET SQ",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335427505",
"telephone_number": "813-528-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 OAKFIELD DR",
"address_2": "STE 205",
"city": "BRANDON",
"state": "FL",
"postal_code": "335110827",
"telephone_number": "813-973-1304",
"fax_number": "813-355-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "GLADYS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW2547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01681399",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GLADYS",
"last_name": "BERRIOS",
"middle_name": "SALAS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.