Individual provider Active NPI

Nealia Glass, LCSW

  • Clinical Social Worker
  • Columbia, KY
National Provider Identifier
1235785049
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
158 Col Casey Dr
Columbia, KY 42728-5319
Phone
(844) 435-0900
NPI assigned
Aug 16, 2019
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 KY Primary

Addresses

Primary practice location

158 Col Casey Dr
Columbia, KY 42728-5319

Mailing address

PO Box 1080
Burkesville, KY 42717-7915
Phone (270) 858-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250317002211 KY Practitioner - Clinical Social Worker 0244752590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc Current Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Mar 31, 2025 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Mar 31, 2025 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. PastSince Aug 1, 2019 Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient PastSince Aug 1, 2019 Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

322 General John Adair Dr
Columbia, KY 42728
Phone (270) 384-5308

526 Indian Dr
Columbia, KY 42728
Phone (270) 384-6515

870 Indian Dr
Columbia, KY 42728
Phone (270) 384-0077

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1235785049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427177915",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 COL CASEY DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427285319",
            "telephone_number": "844-435-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "NEALIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.