Glorious Works Neurotherapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GLORIOUS WORKS NEUROTHERAPY

Practice address

115 N 7TH Street
Canon City, CO 81212

Phone

(585) 991-9063

NPI assigned

Oct 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tricia Williamson, LCSWNPI 1699193151

Title

Owner

Phone

(585) 991-9063

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tricia Williamson

  • Clinical Social Worker
  • Pueblo, CO
  • NPI 1699193151
  NPD Authorized official

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1942841374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N 7TH STREET",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "81212",
            "telephone_number": "585-991-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 7TH STREET",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "81212",
            "telephone_number": "585-991-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS WORKS NEUROTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-991-9063",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699293151",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Gilbert
• Carol A Giles, BA
• Kelly Gilkerson, CRNA
• Pamela Lu Gillen, ND,RN,CNS
• Wonda Jean Glasser, C.N.A.
• William Shaun Gogarty, M.D.
• Britt Taylene Gomer, MS CCC-SLP
• Ramona L Gonzales, BS
• Goodneighbor
• Goodneighbor, LLC

• Community/Behavioral Health Agency in Canon City, CO
• Providers in Canon City, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.