Individual provider Active NPI

Norine Gledhill, L.C.S.W.-R

  • Social Worker
  • Miller Place, NY
National Provider Identifier
1982884573
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
073621 Issued in NY
Practice address
565 Route 25a Ste LR2
Miller Place, NY 11764-2665
Phone
(631) 601-3712
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 073621 NY Primary

Addresses

Primary practice location

565 Route 25a Ste LR2
Miller Place, NY 11764-2665

Mailing address

17 Salem LN
Selden, NY 11784-1210
Phone (631) 601-3712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000174 NY Practitioner - Clinical Social Worker 9234314063 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073621NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Office of Mental Health CurrentSince Feb 26, 2020 Accepting new patients
Nys Office of Mental Health CurrentSince Feb 26, 2020 Accepting new patients

Locations

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1982884573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SALEM LN",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841210",
            "telephone_number": "631-601-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ROUTE 25A STE LR2",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642665",
            "telephone_number": "631-601-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEDHILL",
        "first_name": "NORINE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

Verify at the official NPI Registry.