MEDICARE: MRS. NADIA CECELIA GLADDEN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW20965	FL

General Provider Information

NPI Number	:	1154558286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NADIA CECELIA GLADDEN LCSW

Provider Business Mailing Address
First Line	:	5469 SW 34TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-5032
Country	:	US
Telephone Number	:	352-374-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	5469 SW 34TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-5032
Country	:	US
Telephone Number	:	352-548-1900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	01/10/2024

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