Individual provider Active NPI

Cheryl Kimberly Glaeser, LCSW

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1407153786
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9311 Issued in FL
Practice address
3765 Airport Pulling Rd N
Suite 207
Naples, FL 34105-4517
Phone
(239) 287-5808
NPI assigned
Feb 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW9311 FL Primary

Addresses

Primary practice location

3765 Airport Pulling Rd N
Suite 207
Naples, FL 34105-4517

Mailing address

2205 Tarpon Rd
Naples, FL 34102-1562
Phone (239) 287-5808

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

Practice roles

OrganizationSpecialtyStatusNew patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients
GPS II Past Accepting new patients
Doctor Q Inc Clinical PastSince Jul 4, 2010 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1407153786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 TARPON RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341021562",
            "telephone_number": "239-287-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 AIRPORT PULLING RD N",
            "address_2": "SUITE 207",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341054517",
            "telephone_number": "239-287-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAESER",
        "first_name": "CHERYL",
        "middle_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.