Active NPI
Gloria J Cannelora, MSW, LCSW
- Clinical Social Worker
- Redding, CA
National Provider Identifier
1871010595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW74929
- Practice address
- 1100 Butte St
Redding, CA 96001-0852 - Phone
- (530) 244-8218
- NPI assigned
- Aug 23, 2017
- 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 | ASW74929 | CA | Primary |
Addresses
Primary practice location
1100 Butte St
Redding, CA 96001-0852
Mailing address
PO Box 990634
Redding, CA 96099-0634
Phone (530) 722-7198
Other practice location 1
1310 Continental St
Redding, CA 96001-0839
Phone (530) 410-2402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW74929 | CA | MD | Clinical Social Worker |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1871010595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 990634",
"city": "REDDING",
"state": "CA",
"postal_code": "960990634",
"telephone_number": "530-722-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BUTTE ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960010852",
"telephone_number": "530-244-8218"
}
],
"practiceLocations": [
{
"address_1": "1310 Continental St",
"address_purpose": "LOCATION",
"city": "Redding",
"state": "CA",
"postal_code": "960010839",
"country_code": "US",
"telephone_number": "530-410-2402",
"fax_number": "530-410-2402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANNELORA",
"first_name": "GLORIA",
"middle_name": "J",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW74929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.