Active NPI
Lucy Gleysteen
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1003471301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1348 Bainbridge St
Philadelphia, PA 19147-1810 - Phone
- (215) 563-0652
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1348 Bainbridge St
Philadelphia, PA 19147-1810
Mailing address
2121 Sigel St
Philadelphia, PA 19145-1924
Phone (781) 439-4539
Other practice location 1
1500 Walnut St Ste 300
Philadelphia, PA 19102-3502
Phone (215) 563-7863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mazzoni Center | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
1348 Bainbridge St
Philadelphia, PA 19147
Phone (215) 563-0652
Interoperability endpoints
- https://api.platform.athenahealth.com/2819/brand/1/csg/1/fhir/r4
- lucy.gleysteen.1@2819.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1477631307
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1003471301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 SIGEL ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191451924",
"telephone_number": "781-439-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 BAINBRIDGE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471810",
"telephone_number": "215-563-0652"
}
],
"practiceLocations": [
{
"address_1": "1500 Walnut St Ste 300",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191023502",
"country_code": "US",
"telephone_number": "215-563-7863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLEYSTEEN",
"first_name": "LUCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.