Clifton Glore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011018776 Issued in MO

Practice address

9 Hilltop Village Center Dr
Eureka, MO 63025-1106

Phone

(314) 306-5717

NPI assigned

Apr 10, 2012

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1851657282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 THOLOZAN AVE",
            "address_2": "APT. 1E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091737",
            "telephone_number": "314-306-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HILLTOP VILLAGE CENTER DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251106",
            "telephone_number": "314-306-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLORE",
        "first_name": "CLIFTON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011018776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Circle Counseling, LLC
• Angela Garner, MA, PLPC
• Gateway Spine LLC
• Amanda Marie Gilman, MSW, LCSW
• Heather D Gjorgjievski, D.O.
• Caleb Paul Gorman, DC
• Ted Allen Green, M.D.
• Jack Dean Griffin Jr., DMD PC FAGD
• Tara Han, OTD, OTR/L
• Geralda F Hancock, DC

• Clinical Social Worker in Eureka, MO
• Providers in Eureka, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.