Individual provider Active NPI

Glendalee L Muniz, LCSW, ASW-G

  • Clinical Social Worker
  • Hopewell Junction, NY
National Provider Identifier
1003348467
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094185 Issued in NY
Practice address
5902 Chelsea CV N
Hopewell Junction, NY 12533-7110
Phone
(917) 513-8598
Fax
(914) 840-1182
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097249-1 NY
Clinical Social Worker 1041C0700X 094185 NY Primary

Addresses

Primary practice location

5902 Chelsea CV N
Hopewell Junction, NY 12533-7110

Mailing address

2522 South Rd # 1019
Poughkeepsie, NY 12601-5468
Phone (914) 246-0324

Other practice location 1

1036 Castle Hill Ave
Bronx, NY 10472-6306
Phone (914) 246-0324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221202000051 NY Practitioner - Clinical Social Worker 3274901848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2005 Palmer Ave
Suite 772
Larchmont, NY 10538-2437
Phone (914) 246-0324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097249-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Glo Within Services LLC Clinical CurrentSince Sep 26, 2022 Accepting new patients

Locations

2005 Palmer Ave
#772
Larchmont, NY 10538
Phone (914) 246-0324

2522 South Rd
Poughkeepsie, NY 12601
Phone (855) 999-2767

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1003348467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 SOUTH RD # 1019",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015468",
            "telephone_number": "914-246-0324",
            "fax_number": "914-840-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 CHELSEA CV N",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337110",
            "telephone_number": "917-513-8598",
            "fax_number": "914-840-1182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 Castle Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104726306",
            "country_code": "US",
            "telephone_number": "914-246-0324",
            "fax_number": "914-840-1182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "GLENDALEE",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "LCSW, ASW-G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097249-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

Verify at the official NPI Registry.