Mr Shawn Lamont Gladden, LMSW is a
Counselor - Mental Health based in Thiells, New York. Mr Shawn Lamont Gladden is licensed to practice in New York (license number 085493) and his current practice location is
12 Ambery Ln, Thiells, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 596-8004.
NPI number for Mr Shawn Lamont Gladden is 1306430251 and his current mailing address is 12 Ambery Ln, Thiells, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306430251.
Healthcare Provider's Profile
| Full Name | Mr Shawn Lamont Gladden |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
|---|
| Location | 12 Ambery Ln, Thiells, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306430251
- Provider Enumeration Date: 02/22/2021
- Last Update Date: 02/22/2021
Medical Identifiers
Medical identifiers for Mr Shawn Lamont Gladden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306430251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 085493 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shawn Lamont Gladden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Shawn Lamont Gladden, LMSW
12 Ambery Ln,
Thiells, NY 10984-1608
Ph: (845) 596-8004 | Mr Shawn Lamont Gladden, LMSW
12 Ambery Ln,
Thiells, NY 10984-1608
Ph: (845) 596-8004 |
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