Phara Gladden,LCSW,PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075198 Issued in NY

Legal business name

PHARA GLADDEN,LCSW,PLLC

Practice address

978 Route 45
Suite 104
Pomona, NY 10970-3521

Phone

(845) 596-8006

NPI assigned

May 31, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Phara Gladden, LCSW-R

Title

Clinical Social Worker

Phone

(845) 596-8006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1457709529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109130020",
            "telephone_number": "845-596-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 ROUTE 45",
            "address_2": "SUITE 104",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703521",
            "telephone_number": "845-596-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARA GLADDEN,LCSW,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "GLADDEN",
        "authorized_official_first_name": "PHARA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "845-596-8006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavelass
• Aymee Perez-Sanchez, LMSW
• Devora Perle
• Shoshana Malka Perlmutter
• Basya M Pessin, LCSW
• Joey George Philip, M.D.
• Joanne Pierson, LCSW
• Brigid Pigott, LMSW
• Susan Pile
• Mariel Pina, LMSW

• Clinical Social Worker in Pomona, NY
• Providers in Pomona, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.