Individual provider Active NPI

Karen Glogauerreich

  • Social Worker
  • Green Bay, WI
National Provider Identifier
1750087698
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
133020-121 Issued in WI
Practice address
610 N Broadway
Green Bay, WI 54303-3426
Phone
(920) 437-7206
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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 133020-121 WI Primary

Addresses

Primary practice location

610 N Broadway
Green Bay, WI 54303-3426

Mailing address

610 N Broadway
Green Bay, WI 54303-3426
Phone (920) 437-7206

Other names 1

  • Karen Reich Former name

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
133020-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
N.E.W. Community Clinic, LTD CurrentSince Feb 8, 2023 Accepting new patients

Locations

610 N Broadway
Green Bay, WI 54303
Phone (920) 437-7206

Organizations & group practices 1

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1750087698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N BROADWAY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033426",
            "telephone_number": "920-437-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N BROADWAY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033426",
            "telephone_number": "920-437-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOGAUERREICH",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "133020-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "REICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.