Provider Demographics
NPI:1629133616
Name:GLORIA, JOSE L (LMSW)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:L
Last Name:GLORIA
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N WALL ST
Mailing Address - Street 2:
Mailing Address - City:BUHLER
Mailing Address - State:KS
Mailing Address - Zip Code:67522-8039
Mailing Address - Country:US
Mailing Address - Phone:817-313-0768
Mailing Address - Fax:972-874-0523
Practice Address - Street 1:500 N WALL ST
Practice Address - Street 2:
Practice Address - City:BUHLER
Practice Address - State:KS
Practice Address - Zip Code:67522-8039
Practice Address - Country:US
Practice Address - Phone:817-313-0768
Practice Address - Fax:972-874-0523
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13459101Y00000X
TX31661104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor