Active NPI
Lawren Peggy Gladen, LCSW, PLLC
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1942369061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 722
- Practice address
- 725 W Alder St
Suite 2
Missoula, MT 59802-4036 - Phone
- (406) 546-4690
- Fax
- (406) 273-0692
- NPI assigned
- Dec 6, 2006
- Last updated
- Feb 11, 2009
- 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 | 722 | MT | Primary |
Addresses
Primary practice location
725 W Alder St
Suite 2
Missoula, MT 59802-4036
Mailing address
725 West Alder Road
Suite 2
Missoula, MT 59802-4036
Phone (406) 546-4690
Other names 1
- Lawren Chalmers-Gladen
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 722 | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1942369061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WEST ALDER ROAD",
"address_2": "SUITE 2",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024036",
"telephone_number": "406-546-4690",
"fax_number": "406-543-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 W ALDER ST",
"address_2": "SUITE 2",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024036",
"telephone_number": "406-546-4690",
"fax_number": "406-273-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADEN",
"first_name": "LAWREN",
"middle_name": "PEGGY",
"credential": "LCSW, PLLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAWREN",
"last_name": "CHALMERS-GLADEN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.