Active NPI
Laura Rose Glover, PLCSW
- Clinical Social Worker
- Columbia, MO
National Provider Identifier
1376729210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2007032607
- Practice address
- 8548 Jade Rd
Columbia, MO 65262 - Phone
- (573) 642-5345
- Fax
- (573) 642-5162
- NPI assigned
- Jan 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2007032607 | MO | Primary |
Addresses
Primary practice location
8548 Jade Rd
Columbia, MO 65262
Mailing address
5310 Wood Lake CT
Columbia, MO 65202-5725
Phone (573) 642-5345
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 |
|---|---|---|---|
| 2007032607 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1376729210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 WOOD LAKE CT",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652025725",
"telephone_number": "573-642-5345",
"fax_number": "573-642-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8548 JADE RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65262",
"telephone_number": "573-642-5345",
"fax_number": "573-642-5162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "LAURA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "PLCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2007032607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.