Betty Jean Gloss

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076029 Issued in NY

Practice address

408 W State St
Ithaca, NY 14850-5220

Phone

(607) 229-7660

NPI assigned

Nov 28, 2006

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1316013774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505220",
            "telephone_number": "607-229-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505220",
            "telephone_number": "607-229-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOSS",
        "first_name": "BETTY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01079267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Gilmour, RPH
• Karen Dashiff Gilovich, M.S., L.C.S.W.
• Mary Gitlin, RN
• Marc Gittelson, RN
• Cindy Lee Glanville
• Madison Kathryn Gluck, PT, DPT
• Sarah Godlewski, LPC, LMHC-D
• Brianna Goldbeck
• Laureen Golden, LCSW
• Sherry S Golden, M.S.

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.