Individual provider Active NPI

Charlotte Eliza Glovin, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1407595721
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110036 Issued in NY
Practice address
267 Edgecombe Ave Apt 2M
New York, NY 10031-3003
Phone
(203) 581-0149
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110036 NY Primary

Addresses

Primary practice location

267 Edgecombe Ave Apt 2M
New York, NY 10031-3003

Mailing address

267 Edgecombe Ave Apt 2M
New York, NY 10031-3003
Phone (203) 581-0149

Other practice location 1

26 Court St Ste 401
Brooklyn, NY 11242-1134
Phone (203) 581-0149

Other practice location 2

450 7th Ave Ste 809
New York, NY 10123-0805
Phone (203) 581-0149

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

LicenseStateTypeSpecialty
110036NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1407595721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 EDGECOMBE AVE APT 2M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313003",
            "telephone_number": "203-581-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 EDGECOMBE AVE APT 2M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313003",
            "telephone_number": "203-581-0149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Court St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112421134",
            "country_code": "US",
            "telephone_number": "203-581-0149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 7th Ave Ste 809",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101230805",
            "country_code": "US",
            "telephone_number": "203-581-0149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVIN",
        "first_name": "CHARLOTTE",
        "middle_name": "ELIZA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.