Active NPI
Glynita Susann Bell, LCSW
- Clinical Social Worker
- Jeffersonville, IN
National Provider Identifier
1104157247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 460 Spring St
Jeffersonville, IN 47130-3452 - Phone
- (812) 206-1416
- NPI assigned
- Jan 28, 2010
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
460 Spring St
Jeffersonville, IN 47130-3452
Mailing address
PO Box 2808
Clarksville, IN 47131-2808
Phone (812) 725-1089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241016000029 | DC | Practitioner - Clinical Social Worker | 2769914779 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vigor Integrative Wellness LLC | Current | Accepting new patients |
Locations
1802 Vernon St NW
Ste 2225
Washington, DC 20009
Phone (301) 569-2502
1201 Seven Locks Rd
Ste 360
Rockville, MD 20854
Phone (240) 428-1130
10304 Eaton Pl
Ste 100
Fairfax, VA 22030
Phone (571) 463-8620
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1104157247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2808",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471312808",
"telephone_number": "812-725-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303452",
"telephone_number": "812-206-1416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "GLYNITA",
"middle_name": "SUSANN",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.