Individual provider Active NPI

Jelisa Elizabeth Glanton, LCSW-C

  • Social Worker
  • Towson, MD
National Provider Identifier
1427628866
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26956 Issued in MD
Practice address
200 Washington Ave Floor 5 #13
Towson, MD 21204-3366
Phone
(443) 885-0697
Fax
(410) 541-7197
NPI assigned
Jun 28, 2021
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26956 MD Primary

Addresses

Primary practice location

200 Washington Ave Floor 5 #13
Towson, MD 21204-3366

Mailing address

200 Washington Ave Floor 5 #13
Towson, MD 21204-3366
Phone (443) 885-0697

Other practice location 1

519 N Charles St Ste 350A
Baltimore, MD 21201-5077
Phone (301) 318-5367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26956MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1427628866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON AVE FLOOR 5 #13",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043366",
            "telephone_number": "443-885-0697",
            "fax_number": "410-541-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON AVE FLOOR 5 #13",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043366",
            "telephone_number": "443-885-0697",
            "fax_number": "410-541-7197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 N Charles St Ste 350A",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015077",
            "country_code": "US",
            "telephone_number": "301-318-5367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLANTON",
        "first_name": "JELISA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.