Active NPI
Georgiana Glasow, ST
- Speech-Language Pathologist
- West Haven, CT
National Provider Identifier
1871647701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 001387
- Practice address
- 636 Campbell Ave
West Haven, CT 06516-4408 - Phone
- (203) 934-2057
- Fax
- (203) 934-6659
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 001387 | CT | Primary |
Addresses
Primary practice location
636 Campbell Ave
West Haven, CT 06516-4408
Mailing address
2 Highland Rd
Oxford, CT 06478-1695
Phone (203) 615-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001387 | Other | CT | SPEECH THERAPIST |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Visiting Nurse & Home Health Care Agency, LLC | Past | Accepting new patients |
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.
-
- Home Health Agency
- Stratford, CT
- NPI 1215963822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871647701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HIGHLAND RD",
"city": "OXFORD",
"state": "CT",
"postal_code": "064781695",
"telephone_number": "203-615-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065164408",
"telephone_number": "203-934-2057",
"fax_number": "203-934-6659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASOW",
"first_name": "GEORGIANA",
"credential": "ST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "001387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH THERAPIST",
"identifier": "001387",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.