Active NPI
Nina Glassman, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1073183174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 116471
- Practice address
- 1537 S Shenandoah St Apt 202
Los Angeles, CA 90035-4482 - Phone
- (323) 810-0466
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 116471 | CA | Primary |
Addresses
Primary practice location
1537 S Shenandoah St Apt 202
Los Angeles, CA 90035-4482
Mailing address
8866 Alcott St Apt 102
Los Angeles, CA 90035-3347
Phone (323) 810-0466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116471 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1073183174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8866 ALCOTT ST APT 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900353347",
"telephone_number": "323-810-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 S SHENANDOAH ST APT 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900354482",
"telephone_number": "323-810-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSMAN",
"first_name": "NINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2024-07-31",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "116471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.