Active NPI
Donald James Gloege, LCSW, LISW-CP, BCD
- Clinical Social Worker
- Kings Mountain, NC
National Provider Identifier
1366575045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004703
- Practice address
- 825 E King St
Kings Mountain, NC 28086-3186 - Phone
- (980) 487-2010
- NPI assigned
- Mar 13, 2007
- Last updated
- May 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002-908 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C004703 | NC | MD | Clinical Social Worker |
| 8663 | SC | MD | Pharmacist |
| 4703 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Kings Mountain, NC
- NPI 1720309289
-
- Developmentally Disabled Services Day Training Agency
- Shelby, NC
- NPI 1366699449
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.