Individual provider Active NPI

Julie Lynne Gladziszewski, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1508394495
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012263 Issued in NC
Practice address
125 Hendersonville Rd
Asheville, NC 28803-2868
Phone
(828) 398-3601
Fax
(828) 333-5465
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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 C012263 NC Primary

Addresses

Primary practice location

125 Hendersonville Rd
Asheville, NC 28803-2868

Mailing address

119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 398-3601

Other identifiers 1

IdentifierTypeStateIssuer
P011321OtherNCLICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210002954 NC Practitioner - Clinical Social Worker 3173956828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Area Health Education Center, Inc. Clinical CurrentSince Jul 1, 2021 Accepting new patients
Mountain Area Health Education Center, Inc. Clinical Current Accepting new patients

Locations

125 Hendersonville Rd
Asheville, NC 28803
Phone (828) 579-2100

19 N Ann St
Asheville, NC 28801
Phone (828) 257-4730

600 Barrett Ln
Asheville, NC 28803
Phone (828) 271-6946

218 Elkwood Ave
Ste 102
Asheville, NC 28804
Phone (828) 257-4747

119 Hendersonville Rd
Biltmore Forest, NC 28803
Phone (828) 771-5500

87 Medical Park Dr
Ste B
Brevard, NC 28712
Phone (828) 547-3004

25 Westridge Market Pl
Candler, NC 28715
Phone (443) 865-4662

1542 Cane Creek Rd
Fletcher, NC 28732
Phone (828) 628-8250

56 Medical Park Dr
Franklin, NC 28734
Phone (828) 349-8280

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1508394495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-398-3601",
            "fax_number": "828-333-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-398-3601",
            "fax_number": "828-333-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADZISZEWSKI",
        "first_name": "JULIE",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2021-08-06",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "P011321",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.