Glenn Howard Tobey, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW512 Issued in MN

Practice address

17 1/2 N Lake Ave RM 201
Duluth, MN 55802-2018

Phone

(218) 740-4389

Fax

(218) 740-4389

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1013125855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558041829",
            "telephone_number": "218-343-6213",
            "fax_number": "218-740-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 1/2 N LAKE AVE RM 201",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022018",
            "telephone_number": "218-740-4389",
            "fax_number": "218-740-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBEY",
        "first_name": "GLENN",
        "middle_name": "HOWARD",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "LICSW512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706857300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conor Mae Tillman, LPCC
• Samuel David Tillmans, M.D.
• Jackline Sarange Tirimba
• Supakit Titapiwatanakun
• Jessica M Titus, M.D.
• Kathleen Kay Tobey, LP LMFT
• Kai Ainsley Toering
• Alena Nevers Tofte, MD
• Michele M Toftum, RN
• David Tokkesdal

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.