Glass and Henry PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003282 Issued in VA

Legal business name

GLASS AND HENRY PC

Practice address

505 S Independence Blvd
Suite 207
Virginia Beach, VA 23452-1150

Phone

(757) 497-4965

Fax

(757) 497-4197

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mary Ann Bailey Henry, LCSWNPI 1801997507

Title

Owner

Phone

(757) 497-4965

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• T A Larkspur Psychotheraphy Center Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ann Bailey Henry, LCSW

  • Social Worker
  • Virginia Beach, VA
  • NPI 1801997507
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1093855892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S INDEPENDENCE BLVD",
            "address_2": "SUITE 207",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521150",
            "telephone_number": "757-497-4965",
            "fax_number": "757-497-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S INDEPENDENCE BLVD",
            "address_2": "SUITE 207",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521150",
            "telephone_number": "757-497-4965",
            "fax_number": "757-497-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASS AND HENRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "BAILEY HENRY",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-497-4965",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A000899",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "344120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T A Larkspur Psychotheraphy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lori A. Givonetti, MD
• Erin M. Glace, M.S.P.T.
• Krista Lauren Gladney, LMT
• Gladstone & Salerno, DDS,PC
• Myron David Gladstone, DDS
• Lynessa Glass, LPC, LMFT
• Marti J Glass, PHD, LPC
• Timothy Ryan Glass, DDS, MS
• Glasson Sports Medicine PC
• Sandra E. Glasson, MD

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.