Individual provider Active NPI

Glenda Carol James, DSW

  • Clinical Social Worker
  • Plainfield, NJ
National Provider Identifier
1083871636
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01271300 Issued in NJ
Practice address
117119 Roosevelt Avenue
Plainfield, NJ 07060
Phone
(908) 756-6870
Fax
(908) 756-5566
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0385781 NY
Clinical Social Worker 1041C0700X 44SC01271300 NJ Primary
Clinical Social Worker 1041C0700X LC300457 DC

Addresses

Primary practice location

117119 Roosevelt Avenue
Plainfield, NJ 07060

Mailing address

PO Box 930
Springfield, NJ 07081
Phone (973) 376-6214

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

LicenseStateTypeSpecialty
0385781NYMDSocial Worker
LC300457DCMDClinical Social Worker
44SC01271300NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1083871636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "07081",
            "telephone_number": "973-376-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117119 ROOSEVELT AVENUE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07060",
            "telephone_number": "908-756-6870",
            "fax_number": "908-756-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "GLENDA",
        "middle_name": "CAROL",
        "credential": "DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0385781",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01271300",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC300457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.