Active NPI
Myles Glatter, LICSW
- Clinical Social Worker
- Lincoln, RI
National Provider Identifier
1508916982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW00269
- Practice address
- 840 Smithfield Ave
Suite 202
Lincoln, RI 02865-3336 - Phone
- (401) 245-6891
- NPI assigned
- Jan 10, 2007
- 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 | ISW00269 | RI | Primary |
Addresses
Primary practice location
840 Smithfield Ave
Suite 202
Lincoln, RI 02865-3336
Mailing address
840 Smithfield Ave
Suite 202
Lincoln, RI 02865-3336
Phone (401) 245-6891
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366605 | Other | RI | MAGELLAN HEALTH SERVICES |
| MG14006 | Other | RI | EDS |
| 1032050 | Other | RI | BEACON HEALTH STRATEGIES |
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 |
|---|---|---|---|
| ISW00269 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508916982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 SMITHFIELD AVE",
"address_2": "SUITE 202",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028653336",
"telephone_number": "401-245-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 SMITHFIELD AVE",
"address_2": "SUITE 202",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028653336",
"telephone_number": "401-245-6891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLATTER",
"first_name": "MYLES",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW00269",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "366605",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS",
"identifier": "MG14006",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1032050",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.