Kelly Erin Glazer Baldwin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28097 Issued in CA

Practice address

400 29TH St Ste 514
Oakland, CA 94609-3550

Phone

(415) 310-2550

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 23, 2025 through Jun 23, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1417585928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 HARVARD RD",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101162",
            "telephone_number": "415-310-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 29TH ST STE 514",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093550",
            "telephone_number": "415-310-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER BALDWIN",
        "first_name": "KELLY",
        "middle_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glass Velichko Chiropractic P.C. (The Shift Chiropractic)
• Ben Glass, DC
• Melissa Cochran Glass, MD
• Andrea E Glassberg, MD
• Susan Louise Glasscock, PA
• Howard Bruce Glazer, M.D.
• Diana Gleghorn, LMFT
• Elizabeth Ellen Gleghorn, M.D.
• Glen Kee Lau, MD Inc
• GLJ Medical Services, Inc

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.