Healthcare Provider Details

I. General information

NPI: 1093669970
Provider Name (Legal Business Name): GLORAYMA ALBINO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 1ST ST S
WINTER HAVEN FL
33880-3904
US

IV. Provider business mailing address

815 EVERETT ST
LAKE ALFRED FL
33850-2935
US

V. Phone/Fax

Practice location:
  • Phone: 863-294-7062
  • Fax:
Mailing address:
  • Phone: 407-781-7569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26119
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: