Individual provider Active NPI

Cynthia Kay Glass, LCSW-C

  • Clinical Social Worker
  • Brookeville, MD
National Provider Identifier
1194873208
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12528 Issued in MD
Practice address
1 Saint George CT
Brookeville, MD 20833-3267
Phone
(301) 260-1149
Fax
(301) 260-8952
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 12528 MD Primary

Addresses

Primary practice location

1 Saint George CT
Brookeville, MD 20833-3267

Mailing address

1 Saint George CT
Brookeville, MD 20833-3267
Phone (301) 260-1149

Other identifiers 1

IdentifierTypeStateIssuer
996BCKOtherMDCAREFIRST MARYLAND

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022000414 DC Practitioner - Clinical Social Worker 6002204120 Practice locations: Brookeville, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Brookeville, MD 20833
Phone (240) 498-8479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194873208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT GEORGE CT",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333267",
            "telephone_number": "301-260-1149",
            "fax_number": "301-260-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT GEORGE CT",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333267",
            "telephone_number": "301-260-1149",
            "fax_number": "301-260-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CYNTHIA",
        "middle_name": "KAY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "996BCK",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookeville, MD

Sources for this page

Verify at the official NPI Registry.