Individual provider Active NPI

Sieglinde Gleim, LCSW

  • Clinical Social Worker
  • Merrillville, IN
National Provider Identifier
1528481785
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007800A Issued in IN
Practice address
8200 Georgia St
Merrillville, IN 46410-6227
Phone
(219) 791-1400
Fax
(219) 791-1422
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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 34007800A IN Primary

Addresses

Primary practice location

8200 Georgia St
Merrillville, IN 46410-6227

Mailing address

8200 Georgia St
Merrillville, IN 46410-6227
Phone (219) 791-1400

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007800AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1528481785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 GEORGIA ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106227",
            "telephone_number": "219-791-1400",
            "fax_number": "219-791-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GEORGIA ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106227",
            "telephone_number": "219-791-1400",
            "fax_number": "219-791-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEIM",
        "first_name": "SIEGLINDE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007800A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.