Glenn Sherwood

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4118 Issued in KS

Legal business name

GLENN SHERWOOD

Practice address

425 N Baltimore Ave Ste 1
Derby, KS 67037-1625

Phone

(316) 866-2882

Fax

(316) 866-2811

NPI assigned

Apr 5, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Glenn Keith Sherwood, LSCSW

Title

Owner

Phone

(316) 866-2882

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1376906487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N BALTIMORE AVE STE 1",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371625",
            "telephone_number": "316-866-2882",
            "fax_number": "316-866-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N BALTIMORE AVE STE 1",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371625",
            "telephone_number": "316-866-2882",
            "fax_number": "316-866-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN SHERWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "SHERWOOD",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-866-2882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "003",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa D Gardner, PTA
• Steven A Garner, MD
• Cynthia S George
• William A Gessler, RPH
• Daniel A Gillogly, OD
• Pamela S Goebel-Roberts, ARNP
• Alexis Gomes, RN,BSN
• Joel Arnold Gouvion, PHARMD
• Andrew Thomas Graff
• Joshua Ardell Grammer, D.C.

• Clinical Social Worker in Derby, KS
• Providers in Derby, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.