Individual provider Active NPI

Myles Glatter, LICSW

  • Clinical Social Worker
  • Lincoln, RI
National Provider Identifier
1508916982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00269 Issued in RI
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
366605OtherRIMAGELLAN HEALTH SERVICES
MG14006OtherRIEDS
1032050OtherRIBEACON 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

LicenseStateTypeSpecialty
ISW00269RIMDClinical 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.

Verify at the official NPI Registry.