Active NPI
Jennifer Levin Glazer, L.C.S.W.
- Social Worker
- Los Angeles, CA
National Provider Identifier
1245439736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS 23984
- Practice address
- 330 N Fairfax Ave
Los Angeles, CA 90036-2109 - Phone
- (323) 937-5900
- Fax
- (323) 857-1872
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS 23984 | CA | Primary |
Addresses
Primary practice location
330 N Fairfax Ave
Los Angeles, CA 90036-2109
Mailing address
330 N Fairfax Ave
Los Angeles, CA 90036-2109
Phone (323) 937-5900
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 23984 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1245439736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N FAIRFAX AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900362109",
"telephone_number": "323-937-5900",
"fax_number": "323-857-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N FAIRFAX AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900362109",
"telephone_number": "323-937-5900",
"fax_number": "323-857-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZER",
"first_name": "JENNIFER",
"middle_name": "LEVIN",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS 23984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Vincent Angelo Glaviano, NP
- Theresa Glawe, PT, DPT
- Steven Glaza
- Stephanie Glaze, PSY.D.
- Avigail Glazer-Schotz, LMFT
- Sara Beth Glazer, LCSW
- Erin Michelle Gleason, M.D.
- Nathaniel Gleason, MD
- Glen L Hollinger MD a Medical Corporation
- Glendale Medical Arts Center Pharmacy Inc. (Discount Medical Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.