Dale Suzanne Glowacki, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

023865 Issued in NY

Practice address

64 Division Ave Ste 215E
Levittown, NY 11756-2947

Phone

(516) 579-3167

NPI assigned

Dec 25, 2006

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

Other names 1

• Miss Dale Suzanne Gordon Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1851456545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 GREEN LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564030",
            "telephone_number": "516-579-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 DIVISION AVE STE 215E",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562947",
            "telephone_number": "516-579-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWACKI",
        "first_name": "DALE",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-25",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "023865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "GORDON",
            "middle_name": "SUZANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mike Ghossn, OD
• Dina T Giacopelli, M.S.-CCC-A
• Saamiya Munawar Gill
• Donna Gimino-Bortell, M.A., CCC, SLP
• Nina Glenn, LMSW
• Anubha Goel
• Steven M Goldberg, DDS
• Andrea Gomez
• Maryann Gonong
• Victoria Lynne Gonzalez

• Clinical Social Worker in Levittown, NY
• Providers in Levittown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.