Active NPI
Elysia H Glynn, LMSW
- Social Worker
- Metairie, LA
National Provider Identifier
1407120124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11217
- Practice address
- 2637 Edenborn Ave.
Suite 301
Metairie, LA 70002 - Phone
- (504) 455-2446
- NPI assigned
- Feb 27, 2012
- 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 | 11217 | LA | Primary |
Addresses
Primary practice location
2637 Edenborn Ave.
Suite 301
Metairie, LA 70002
Mailing address
2637 Edenborn Ave.
Suite 301
Metairie, LA 70002
Phone (504) 455-2446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
255 W Florida St
Suite 200
Mandeville, LA 70448-3022
Phone (504) 267-7324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11217 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caravelle Care Inc. | Social Worker | Current | Accepting new patients |
Locations
255 W Florida St
Ste 200
Mandeville, LA 70448
Phone (504) 267-7324
4300 S I 10 Service Rd W
Ste 102
Metairie, LA 70001
Phone (504) 267-7324
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Metairie, LA
- NPI 1245682848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1407120124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 EDENBORN AVE.",
"address_2": "SUITE 301",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70002",
"telephone_number": "504-455-2446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2637 EDENBORN AVE.",
"address_2": "SUITE 301",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70002",
"telephone_number": "504-455-2446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLYNN",
"first_name": "ELYSIA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "11217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.