Individual provider Active NPI

Glenda S. Laswell III, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1104826007
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001371 Issued in NC
Practice address
260 Merrimon Ave
Suite 100
Asheville, NC 28801-1218
Phone
(828) 255-8655
Fax
(828) 255-8591
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C001371 NC Primary

Addresses

Primary practice location

260 Merrimon Ave
Suite 100
Asheville, NC 28801-1218

Mailing address

260 Merrimon Ave
Suite 100
Asheville, NC 28801-1218
Phone (828) 255-8655

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C001371NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1104826007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MERRIMON AVE",
            "address_2": "SUITE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011218",
            "telephone_number": "828-255-8655",
            "fax_number": "828-255-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MERRIMON AVE",
            "address_2": "SUITE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011218",
            "telephone_number": "828-255-8655",
            "fax_number": "828-255-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASWELL",
        "first_name": "GLENDA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.