Individual provider Active NPI

Madeline L Gleich, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1639233455
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR013399-1 Issued in NY
Practice address
250 Riverside Dr
#43
New York, NY 10025-6146
Phone
(212) 864-7369
Fax
(212) 316-2534
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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 PR013399-1 NY Primary

Addresses

Primary practice location

250 Riverside Dr
#43
New York, NY 10025-6146

Mailing address

250 Riverside Dr
#43
New York, NY 10025-6146
Phone (212) 864-7369

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
PR013399-1NYMDClinical Social Worker
013399NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1639233455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RIVERSIDE DR",
            "address_2": "#43",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256146",
            "telephone_number": "212-864-7369",
            "fax_number": "212-316-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RIVERSIDE DR",
            "address_2": "#43",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256146",
            "telephone_number": "212-864-7369",
            "fax_number": "212-316-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEICH",
        "first_name": "MADELINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR013399-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.