Individual provider Active NPI

Gladys Cano, LICSW

  • Mental Health Counselor
  • Attleboro, MA
National Provider Identifier
1275624165
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
118563 Issued in MA
Practice address
155 N Main St
Attleboro, MA 02703-2225
Phone
(508) 369-4225
Fax
(508) 639-9629
NPI assigned
Sep 27, 2006
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 118563 MA Primary
Clinical Social Worker 1041C0700X ISW01538 RI

Addresses

Primary practice location

155 N Main St
Attleboro, MA 02703-2225

Mailing address

155 N Main St
Attleboro, MA 02703-2225
Phone (508) 369-4225

Other identifiers 1

IdentifierTypeStateIssuer
GC49801MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 11, 2023 through May 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118563MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Counseling Clinical CurrentSince Jun 1, 2022 Accepting new patients
Prince William County Community Services Board PastSince Feb 1, 2026 Accepting new patients
Gateway Healthcare, Inc Clinical Past Accepting new patients
Prince William County Past Accepting new patients
Gateway Healthcare Inc PastSince May 9, 2021 Accepting new patients

Locations

19439 Shumard Oak Dr
Land O Lakes, FL 34638

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1275624165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MAIN ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032225",
            "telephone_number": "508-369-4225",
            "fax_number": "508-639-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MAIN ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032225",
            "telephone_number": "508-369-4225",
            "fax_number": "508-639-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "GLADYS",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "118563",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GC49801",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.