Active NPI
Jonnie R Glynn, MSW
- Clinical Social Worker
- Monroe, MI
National Provider Identifier
1154005809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851116550
- Practice address
- 1645 N Dixie Hwy Ste 2
Monroe, MI 48162-5231 - Phone
- (734) 344-7432
- NPI assigned
- Jun 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 6851116550 | MI | Primary |
Addresses
Primary practice location
1645 N Dixie Hwy Ste 2
Monroe, MI 48162-5231
Mailing address
5463 Fern Dr
Toledo, OH 43613-1927
Other names 1
- Rain Glynn
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851116550 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Make Your Turn LLC | Clinical | Current | Accepting new patients |
Locations
1645 N Dixie Hwy
Ste 2
Monroe, MI 48162
Phone (734) 265-0120
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": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1154005809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5463 FERN DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436131927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 N DIXIE HWY STE 2",
"city": "MONROE",
"state": "MI",
"postal_code": "481625231",
"telephone_number": "734-344-7432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLYNN",
"first_name": "JONNIE",
"middle_name": "R",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-13",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851116550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAIN",
"last_name": "GLYNN",
"credential": "MSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.