Gretchen Witte Glader, L.C.S.W, PH.D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-011270 Issued in IL

Practice address

466 Central Ave
Suite 19-21
Northfield, IL 60093-3041

Phone

(847) 345-1694

NPI assigned

Apr 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1699139758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 CENTRAL AVE",
            "address_2": "SUITE 19-21",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933041",
            "telephone_number": "847-345-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 CENTRAL AVE",
            "address_2": "SUITE 19-21",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933041",
            "telephone_number": "847-345-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADER",
        "first_name": "GRETCHEN",
        "middle_name": "WITTE",
        "name_prefix": "Dr.",
        "credential": "L.C.S.W, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-011270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bozena Garvey, MA
• Meredith Gentry
• Anthony James Geroulis, M.D.
• William David Gieseke, PH.D.
• Fred Allen Gitles, M.S.W.
• Michael Jason Gladstein, ED.S.
• Krystal Glassman, LCPC
• GMC Dentistry LTD
• John Frederick Golan, MD
• Daniel J. Goldstein, M.D.

• Clinical Social Worker in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.