Glenda F. Short, PH.D., LCSW, AAMFT/S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005280 Issued in NC

Practice address

133 Parkway Village Dr
Boone, NC 28607-7165

Phone

(828) 262-5109

NPI assigned

Mar 16, 2010

Last updated

Mar 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Behavior Management PC Inc

  dba Behavior Management Associates PC

  • Counseling Psychologist
  • Joplin, MO
  • NPI 1669481495
  NPD (past)
• Cornerstone Medical, LLC

  • Internal Medicine Physician
  • Joplin, MO
  • NPI 1104549948
  NPD (past)

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1245554500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PARKWAY VILLAGE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077165",
            "telephone_number": "828-262-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PARKWAY VILLAGE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077165",
            "telephone_number": "828-262-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "GLENDA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW, AAMFT/S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005280",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Jo Shepperd Platt
• Carleigh Olivia Sherfield, PA-C
• Robert Edward Lee Shirley Jr., M.D.
• Katherine Jane Shoffner, OT
• Michele Carnevale Shore, BS
• Tiffany Lynn Shreve, MSN, RNC, FNP-BC
• Spencer Shuford
• Samantha Silar
• Holli E Sink, PHD
• Sisters of Mercy Urgent Care Inc (Mercy Urgent Care)

• Clinical Social Worker in Boone, NC
• Providers in Boone, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.