Individual provider Active NPI

Donald James Gloege, LCSW, LISW-CP, BCD

  • Clinical Social Worker
  • Kings Mountain, NC
National Provider Identifier
1366575045
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004703 Issued in NC
Practice address
825 E King St
Kings Mountain, NC 28086-3186
Phone
(980) 487-2010
NPI assigned
Mar 13, 2007
Last updated
May 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8663 SC
Clinical Social Worker 1041C0700X C004703 NC Primary

Addresses

Primary practice location

825 E King St
Kings Mountain, NC 28086-3186

Mailing address

112 Wichita Dr
Shelby, NC 28152-7763
Phone (704) 434-8952

Other identifiers 1

IdentifierTypeStateIssuer
6002-908MedicaidNC

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

LicenseStateTypeSpecialty
C004703NCMDClinical Social Worker
8663SCMDPharmacist
4703NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Behavioral Resources, Inc. Past Accepting new patients
Carolina Therapeutic Solutions Past Accepting new patients

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1366575045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WICHITA DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527763",
            "telephone_number": "704-434-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863186",
            "telephone_number": "980-487-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOEGE",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW, LISW-CP, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8663",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002-908",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.