Gloria M Wellbrock, LCSW
Social Worker, Clinical in Lords Valley, PA. Individual provider (NPI-1).
NPI number1760618219
StatusActive
Last updated in NPPESSep 10, 2021
Details
- NPI
- 1760618219
- Entity type
- Individual (NPI-1)
- Name
- Gloria M Wellbrock
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2009
- Certification date
- Sep 10, 2021
- Last updated
- Sep 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW021503 | PA | Yes |
| 1041C0700X | Social Worker, Clinical | 076627-1 | NY |
Practice location
110 Hemlock Farms Rd Ste 7Lords Valley, PA 18428-6133
Phone 646-236-2534
Mailing address
110 Hemlock Farms RdLords Valley, PA 18428-6145
Phone 646-236-2534
Other practice locations
31 Kirby Ct
Staten Island, NY 10301-1210
Staten Island, NY 10301-1210
Phone 646-236-2534 · Fax 718-761-3162
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Lords Valley, PA
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.