GLS Clinical Social Work LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06511 Issued in NM

Legal business name

GLS CLINICAL SOCIAL WORK LLC

Practice address

1505 15TH St Ste D
Los Alamos, NM 87544-3000

Phone

(505) 695-5511

NPI assigned

Oct 27, 2015

Last updated

Oct 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gretchen Selby, LISWNPI 1457396137

Title

Licensed Clinical Social Worker

Phone

(505) 695-5511

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gretchen Louise Selby, LMSW

  • Social Worker
  • Los Alamos, NM
  • NPI 1457396137
  NPD (past) Authorized official

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1750753927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 36TH ST",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875441544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 15TH ST STE D",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443000",
            "telephone_number": "505-695-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLS CLINICAL SOCIAL WORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "505-695-5511",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Gellis
• Donna Marie Giaquinto, LPCC
• Kelly Christine Gill, LMT
• Susan M Gisler, CNP
• Dawn K Glover, DDS
• Laurence Goddard, MD
• Tina R Goldsmith, PH.D., BCBA-D
• Autumn Marie Gonzales
• Naomi Rae Gonzales
• Gonzalo a Diaz (Los Alamos)

• Clinical Social Worker in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.