Active NPI
Gabriel Robert Gluba, LMSW, MCJ, CADC
- Clinical Social Worker
- Clinton, IA
National Provider Identifier
1346727732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 097953
- Practice address
- 638 S Bluff Blvd
Clinton, IA 52732-4742 - Phone
- (563) 243-5633
- NPI assigned
- Jul 27, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06163 | IA | |
| Clinical Social Worker | 1041C0700X | 097953 | IA | Primary |
Addresses
Primary practice location
638 S Bluff Blvd
Clinton, IA 52732-4742
Mailing address
638 S Bluff Blvd
Clinton, IA 52732-4742
Phone (563) 243-5633
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06163 | IA | MD | Addiction (Substance Use Disorder) Counselor |
| 097953 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1346727732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 S BLUFF BLVD",
"city": "CLINTON",
"state": "IA",
"postal_code": "527324742",
"telephone_number": "563-243-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 S BLUFF BLVD",
"city": "CLINTON",
"state": "IA",
"postal_code": "527324742",
"telephone_number": "563-243-5633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUBA",
"first_name": "GABRIEL",
"middle_name": "ROBERT",
"credential": "LMSW, MCJ, CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "06163",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "097953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.