Organization Active NPI

Leslie Glass & Associates LLC

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1033466297
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015845 Issued in PA
Legal business name
LESLIE GLASS & ASSOCIATES LLC
Practice address
1315 Walnut St
Suite 1323
Philadelphia, PA 19107-4719
Phone
(267) 977-7316
NPI assigned
Aug 7, 2012
Last updated
Aug 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Leslie Carol Glass, LCSWNPI 1679752240
Title
Owner, Psychotherapist
Phone
(267) 977-7316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015845 PA Primary

Addresses

Primary practice location

1315 Walnut St
Suite 1323
Philadelphia, PA 19107-4719

Mailing address

1315 Walnut St
Suite 1323
Philadelphia, PA 19107-4719
Phone (267) 977-7316

Other identifiers 1

IdentifierTypeStateIssuer
1679752240OtherPAINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260205002410 PA Part B Supplier - Clinic/Group Practice 6305325861 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1315 Walnut St
Ste 1323
Philadelphia, PA 19107
Phone (215) 839-0450

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1033466297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "address_2": "SUITE 1323",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074719",
            "telephone_number": "267-977-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "address_2": "SUITE 1323",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074719",
            "telephone_number": "267-977-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE GLASS & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "267-977-7316",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679752240",
            "state": "PA"
        }
    ],
    "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 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.