Jen Gladon Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JEN GLADON COUNSELING LLC

Practice address

810 Locust St
Dubuque, IA 52001-6705

Phone

(563) 293-1247

NPI assigned

Jul 19, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Gladon

Title

Owner, Lisw

Phone

(563) 293-1247

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1427601418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 LOCUST ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LOCUST ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016705",
            "telephone_number": "563-293-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN GLADON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "GLADON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, LISW",
        "authorized_official_telephone_number": "563-293-1247"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.