Active NPI
Gladstone Seymour Alleyne Jr.
- Clinical Social Worker
- Upper Marlboro, MD
National Provider Identifier
1477380574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10816
- Practice address
- 1 Cameron Grove Blvd Apt 103
Upper Marlboro, MD 20774-8632 - Phone
- (301) 452-8348
- NPI assigned
- Sep 14, 2024
- Sex
- Male
- 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 | 10816 | MD | Primary |
Addresses
Primary practice location
1 Cameron Grove Blvd Apt 103
Upper Marlboro, MD 20774-8632
Mailing address
1 Cameron Grove Blvd Apt 103
Upper Marlboro, MD 20774-8632
Phone (301) 452-8348
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 |
|---|---|---|---|
| 10816 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726272000000",
"number": "1477380574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CAMERON GROVE BLVD APT 103",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748632",
"telephone_number": "301-452-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAMERON GROVE BLVD APT 103",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748632",
"telephone_number": "301-452-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEYNE",
"first_name": "GLADSTONE",
"middle_name": "SEYMOUR",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-14",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "10816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.