Glen Alan Carpenter

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1302311 Issued in OH

Practice address

1544 S Byrne Rd
Toledo, OH 43614-3465

Phone

(419) 509-3442

Fax

(419) 491-4886

NPI assigned

Dec 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thrive Body Mind & Spirit LLC

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1558891077
  NPD Authorized official
• Sovereign Solutions, LLC

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1871029330
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1376941120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 WARREN ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201352",
            "telephone_number": "419-699-3357",
            "fax_number": "419-491-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 S BYRNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143465",
            "telephone_number": "419-509-3442",
            "fax_number": "419-491-4886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2217 Warren St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436201352",
            "country_code": "US",
            "telephone_number": "419-699-5383",
            "fax_number": "419-472-8675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "GLEN",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1302311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Carney
• Carols Tender Care
• Maddalyn Carpenter-Boyd, QMHS-B, CT
• Elise M L Carpenter, PHARMD
• Erica J Carpenter, MA
• Glenn Carpenter
• Latoya Marie Carpenter
• Lori Carpenter
• Miara Carpenter
• Nailah Carpenter, BSW, LSW

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.