Active NPI
Lashirah Warren Glenn, MSW, LSW
- Social Worker
- Brookhaven, PA
National Provider Identifier
1427884899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW141604
- Practice address
- 1425 Rainer Rd
Brookhaven, PA 19015-1939 - Phone
- (267) 746-6542
- NPI assigned
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | SW141604 | PA | Primary |
Addresses
Primary practice location
1425 Rainer Rd
Brookhaven, PA 19015-1939
Mailing address
1425 Rainer Rd
Brookhaven, PA 19015-1939
Phone (267) 746-6542
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW141604 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1427884899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 RAINER RD",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190151939",
"telephone_number": "267-746-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 RAINER RD",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190151939",
"telephone_number": "267-746-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN GLENN",
"first_name": "LASHIRAH",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW141604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.