Renee S Glass, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801097176 Issued in MI

Practice address

5958 N Canton Center Rd
Canton, MI 48187-2765

Phone

(734) 737-1200

NPI assigned

Mar 5, 2007

Last updated

Jan 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Renee Sue Wood Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lifestancehealth.reneeglass@150339.advancedmd-direct.com

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

• Downriver Mental Health Clinic PC

  dba Lifestance Health, Inc

  • Psychologist
  • Taylor, MI
  • NPI 1295866135

  Clinical

  NPD (past)
• Joak American Homes, Inc.

  • Case Management Agency
  • Clinton Township, MI
  • NPI 1386841104
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1003945163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49590 NORTH DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702332",
            "telephone_number": "734-560-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872765",
            "telephone_number": "734-737-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "RENEE",
        "middle_name": "S",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802059052",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097175",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097176",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6802059052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "WOOD",
            "middle_name": "SUE",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allison N Gilson, PH.D., LP
• James Willard Gilson, PA
• Joseph Lawrence Gimmarro Jr., D.M.D
• Gina Girimont
• Julianna Gladden
• Kesha Glimps
• James E. Glinski, D.D.S.
• Amanda Joyce Glover
• Lisa Rene Gnas, D.O.
• Lily Go, MD

• Clinical Social Worker in Canton, MI
• Providers in Canton, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.