Active NPI
Glenn R Gartung, LCSW
- Social Worker
- Lido Beach, NY
National Provider Identifier
1619246535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 239 Lido Blvd
Lido Beach, NY 11561-5092 - Phone
- (516) 897-2172
- NPI assigned
- Dec 21, 2011
- Last updated
- Dec 21, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NY | Primary |
Addresses
Primary practice location
239 Lido Blvd
Lido Beach, NY 11561-5092
Mailing address
239 Lido Blvd
Lido Beach, NY 11561-5092
Phone (516) 897-2172
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1619246535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 LIDO BLVD",
"city": "LIDO BEACH",
"state": "NY",
"postal_code": "115615092",
"telephone_number": "516-897-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 LIDO BLVD",
"city": "LIDO BEACH",
"state": "NY",
"postal_code": "115615092",
"telephone_number": "516-897-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARTUNG",
"first_name": "GLENN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lido Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.