=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932080694
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALCOVE THERAPY SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2025
-----------------------------------------------------
Last Update Date | 09/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 E PRATT ST 8TH FLOOR - #8415
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21202-3116
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-929-4646
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 400 E PRATT ST 8TH FLOOR - #8415
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21202-3116
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-929-4646
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER
-----------------------------------------------------
Name | DANIELLE GLEBER
-----------------------------------------------------
Credential | LCSW-C, MSW
-----------------------------------------------------
Telephone | 443-520-8105
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------