Active NPI
Maren Gleason, LCSW
- Clinical Social Worker
- San Ramon, CA
National Provider Identifier
1710185129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23406
- Practice address
- 2010 Crow Canyon PL Ste 100
San Ramon, CA 94583-1344 - Phone
- (925) 838-2375
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23406 | CA | Primary |
Addresses
Primary practice location
2010 Crow Canyon PL Ste 100
San Ramon, CA 94583-1344
Mailing address
2415 San Ramon Valley Blvd Ste 4241
San Ramon, CA 94583-5381
Phone (925) 838-2375
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | support@marengleaon.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 11, 2023 through Dec 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23406 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596931200000",
"number": "1710185129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 SAN RAMON VALLEY BLVD STE 4241",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945835381",
"telephone_number": "925-838-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 CROW CANYON PL STE 100",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831344",
"telephone_number": "925-838-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "MAREN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2020-08-09",
"certification_date": "2020-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "23406",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "support@marengleaon.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "text",
"address_1": "15924 Cambrian Dr",
"city": "San Leandro",
"state": "CA",
"country_code": "US",
"postal_code": "945781103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.