Individual provider Active NPI

Nina Rachel Glueckselig, L.I.S.W.

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1235166208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0005619 Issued in OH
Practice address
2490 Lee Blvd Ste 204
Cleveland, OH 44118-1269
Phone
(216) 321-3611
Fax
(216) 321-0021
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 I-0005619 OH Primary

Addresses

Primary practice location

2490 Lee Blvd Ste 204
Cleveland, OH 44118-1269

Mailing address

3161 Scarborough Rd
Cleveland, OH 44118-4049
Phone (216) 321-3611

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
I-0005619OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Lifetime Assistance Network of Northeast Ohio, Inc. Past Accepting new patients

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235166208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 SCARBOROUGH RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441184049",
            "telephone_number": "216-321-3611",
            "fax_number": "216-321-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181269",
            "telephone_number": "216-321-3611",
            "fax_number": "216-321-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUECKSELIG",
        "first_name": "NINA",
        "middle_name": "RACHEL",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0005619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.