Glenwood Life Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GLENWOOD LIFE COUNSELING CENTER

Practice address

516 Glenwood Ave
Baltimore, MD 21212-4230

Phone

(410) 323-9811

Fax

(410) 323-3862

NPI assigned

Jul 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. George G Lincoln

Title

Administrator

Phone

(410) 323-9811

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Glenwood Life Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glenwood Life Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1083089536
  NPD tax ID

Locations

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1427345511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 GLENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124230",
            "telephone_number": "410-323-9811",
            "fax_number": "410-323-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 GLENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124230",
            "telephone_number": "410-323-9811",
            "fax_number": "410-323-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD LIFE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-323-9811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750251600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Glenn, PA-C
• Eve R Glenn
• Keischa L Glenn, DO
• Stefanie Marie Glenn, C.R.N.P.
• Sydney Glenn, LGPC
• Glenwood Life Counseling Center, Inc.
• Glenwood Life-Counseling Center Inc
• Glenwood Life-Counseling Center Inc.
• Emily Glessner, RDH
• Danielle Renee Glick, MD

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.