Gloria Schou, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

099139 Issued in NY

Practice address

300 West Ave
Brockport, NY 14420-1118

Phone

(585) 537-3905

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jewish Family Service of Rochester IncGroup PAC ID 4789840752, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Family Service of Rochester Inc

  • Adult Development & Aging Psychologist
  • Rochester, NY
  • NPI 1942429527

  Mental Health

  Medicare reassignment Care Compare group NPD
• Gavia Lifecare Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, NY
  • NPI 1710592209

  Clinical

  NPD (past)
• Jewish Family Service of Rochester Inc

  • Case Management Agency
  • Rochester, NY
  • NPI 1730885799
  NPD (past)

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1639884547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 LONG POND RD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265002",
            "telephone_number": "585-371-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201118",
            "telephone_number": "585-537-3905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 Long Pond Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146265002",
            "country_code": "US",
            "telephone_number": "585-371-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOU",
        "first_name": "GLORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "111520",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099139",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "111520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nannette Ryan, LCSW
• Sanjay Samuel, MD
• Caitlin Sanganetti, NP
• Janette Elaine Saxton, P.N.P.
• Aaron David Schmerbeck, PHARMD
• Barbara Ann Schrage, FNP-C
• Miranda M Schult, RDH
• Mallory Scopano, RN, BSN
• Stephen Edward Semo, RPH
• Thomas G Shafer, NPP-BC

• Clinical Social Worker in Brockport, NY
• Providers in Brockport, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.