Glenda Alfonso Alea
Individual provider Active NPI Clinical Social Worker · Louisville, KY
NPI 1134559602 · NPPES record last updated Jun 28, 2022
Key facts
- NPI
- 1134559602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 253226 (KY)
- Practice address
- 135 Chenoweth LN Ste 2
Louisville, KY 40207-2603 - Phone
- (502) 215-8970
- NPI assigned
- Nov 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180613001766 | KY | Practitioner - Clinical Social Worker | 3072868173 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253226 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Minds Counseling LLC | Clinical | Current |
Accepting new patients |
| Seven Counties Services, Inc. | Social Worker | Current |
Accepting new patients |
Locations
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
10401 Linn Station Rd
Ste 100
Louisville, KY 40223
3703 Taylorsville Rd
Ste 102
Louisville, KY 40220
135 Chenoweth Ln
Ste 2
Louisville, KY 40207
Phone (502) 215-8970
10101 Linn Station Rd
Ste 600
Louisville, KY 40223
Phone (502) 858-9860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 253226 | KY | Yes |
Addresses
Primary practice location
135 Chenoweth LN Ste 2
Louisville, KY 40207-2603
Mailing address
135 Chenoweth LN Ste 2
Louisville, KY 40207-2603
Phone (502) 215-8970
Other providers in Louisville, KY
- Tameka Renee Alexander
- Sharron Alexandersmith
- Deepa Betty Alexis
- Alyssa Alfaro
- Toriana Alfieri
- Alfred L.Perkins, PSC
- Regina Lynn Alfred
- Norah Alghamdi
- Aliza Chloe Algozino
- Sara Alhachache
All providers in Louisville, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.