Individual provider Active NPI

Melissa Jean Glowacki, MSW

  • Social Worker
  • Cheektowaga, NY
National Provider Identifier
1689013690
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
090850 Issued in NY
Practice address
1526 Walden Ave
Cheektowaga, NY 14225-4965
Phone
(716) 895-6700
Fax
(716) 895-0436
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 090850 NY Primary

Addresses

Primary practice location

1526 Walden Ave
Cheektowaga, NY 14225-4965

Mailing address

1526 Walden Ave
400
Cheektowaga, NY 14225-4965
Phone (716) 895-6700

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
090850NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Erie Counseling and Treatment Services Past Accepting new patients
Mid Erie Mental Health Services Inc Social Worker PastSince Apr 1, 1996 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1689013690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE",
            "address_2": "400",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254965",
            "telephone_number": "716-895-6700",
            "fax_number": "716-895-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254965",
            "telephone_number": "716-895-6700",
            "fax_number": "716-895-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWACKI",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.