Individual provider Active NPI

Carol Glover, LCSW

  • Clinical Social Worker
  • Parkesburg, PA
National Provider Identifier
1487060091
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019624 Issued in PA
Practice address
950 S Octorara TRL
Parkesburg, PA 19365-2100
Phone
(717) 560-3782
Fax
(717) 560-3787
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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 CW019624 PA Primary

Addresses

Primary practice location

950 S Octorara TRL
Parkesburg, PA 19365-2100

Mailing address

950 S Octorara TRL
Parkesburg, PA 19365-2100
Phone (717) 560-3782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1487060091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S OCTORARA TRL",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193652100",
            "telephone_number": "717-560-3782",
            "fax_number": "717-560-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S OCTORARA TRL",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193652100",
            "telephone_number": "717-560-3782",
            "fax_number": "717-560-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkesburg, PA

Sources for this page

Verify at the official NPI Registry.