Karen Lynn Glaza

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149009785 Issued in IL

Practice address

612 S Western Ave Apt 2
Chicago, IL 60612-4682

Phone

(312) 217-2259

NPI assigned

Feb 1, 2018

Last updated

Feb 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mobile Mental Wellness, LLCGroup PAC ID 9234461310, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wren Psychotherapy, LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1619683257
  Medicare reassignment NPD Authorized official
• Mobile Mental Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Valparaiso, IN
  • NPI 1497307045

  IL

  Medicare reassignment Care Compare group
• Mobile Wellness Incorporated

  • Clinical Social Worker
  • Valparaiso, IN
  • NPI 1982292199

  IL

  Medicare reassignment

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1114426491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S WESTERN AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124682",
            "telephone_number": "312-217-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S WESTERN AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124682",
            "telephone_number": "312-217-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZA",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Glastris, MD
• Kara Adele Glavan, PT, DPT
• Michael W Glavin, LMFT
• Tara Glavin, MA, BCBA
• Kathryn Glaybo, RN
• Gary Glazner
• GLC Wellness Center Chicago
• GLC Wellness Center Illinois LLC
• GLC Wellness Center Illinois LLC
• Anne Gleason

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.