MEDICARE: KATINA GLOVER

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	101YM0800X	Mental Health Counselor	017169	NY

General Provider Information

NPI Number	:	1558225706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATINA GLOVER

Provider Business Mailing Address
First Line	:	1230 PENNSYLVANIA AVE APT 19B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11239-1114
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 PENNSYLVANIA AVE APT 19B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11239-1114
Country	:	US
Telephone Number	:	917-772-4598
Fax Number	:

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

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

Similar Medicare Providers

1932049301 — ALEXIS ASHLEY ANDERSON LMSW
Practice Location Address:

1230 PENNSYLVANIA AVE APT 19B
BROOKLYN, NY
11239-1114

Practice Phone: 929-343-2404
Practice Fax:

1629153739 — DARIN A PORTNOY MD
Practice Location Address:

1114 LIBERTY AVE
BROOKLYN, NY
11208-2922

Practice Phone: 718-765-6058
Practice Fax: 347-808-4895

1184955270 — ISSA E. JARADEH
Practice Location Address:

297 MARCUS GARVEY BLVD
BROOKLYN, NY
11221-1114

Practice Phone: 347-844-0705
Practice Fax:

1558679563 — MRS. SHAWN ANDREA TAPPER FNP
Practice Location Address:

1114 LIBERTY AVE
BROOKLYN, NY
11208-2922

Practice Phone: 718-765-6058
Practice Fax: 347-808-4895

1871803221 — KAMI M. ROBERTS
Practice Location Address:

1114 FULTON ST , 2ND FLOOR
BROOKLYN, NY
11238-2607

Practice Phone: 347-204-8604
Practice Fax:

1558662767 — BARBARA AZCONA LCSW
Practice Location Address:

26 COURT ST STE 1413
BROOKLYN, NY
11242-1114

Practice Phone: 917-375-6794
Practice Fax:

Directions to “ KATINA GLOVER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.