Cara M Glaze, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.2005223 Issued in OH

Practice address

1095 Harcourt Rd
Mount Vernon, OH 43050-4476

Phone

(740) 848-1010

NPI assigned

Oct 24, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Cara M Venus Former name

Medicare fee-for-service enrollment

Enrolled in NC, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• OH PPO
• TN PPO C-SNP
• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
• KY PPO C-SNP
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• TN PPO
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• KY PPO
• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC, OH

  Medicare reassignment NPD
• Family Life Counseling & Psychiatric Services

  • Addiction (Substance Use Disorder) Counselor
  • Mansfield, OH
  • NPI 1669731246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1003192006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 CRABAPPLE DR",
            "city": "HOWARD",
            "state": "OH",
            "postal_code": "430288020",
            "telephone_number": "614-653-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 HARCOURT RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430504476",
            "telephone_number": "740-848-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Fishinger Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432212108",
            "country_code": "US",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAZE",
        "first_name": "CARA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "VENUS",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Gibson, PHARMD
• Penelope Gibson
• Kristin Gifford
• Lindsey Gilkey, APRN
• Stacy Gilley, LISW
• Kimberly Lynette Glenn, CNP
• Sarah Gliniecki, O.D.
• Rusti Goines
• Jaime T Goodman, M.D.
• Jeffrey N Goodman

• Clinical Social Worker in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.