Individual provider Active NPI

Lewis Paul Glasener, LCSW,BCD

  • Clinical Social Worker
  • Vienna, VA
National Provider Identifier
1457367633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
328 Tapawingo Rd SE
Vienna, VA 22180-5976
Phone
(703) 255-3854
Fax
(703) 255-3854
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X VA Primary

Addresses

Primary practice location

328 Tapawingo Rd SE
Vienna, VA 22180-5976

Mailing address

328 Tapawingo Rd SE
Vienna, VA 22180-5976
Phone (703) 255-3854

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
904000576VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457367633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 TAPAWINGO RD SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805976",
            "telephone_number": "703-255-3854",
            "fax_number": "703-255-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 TAPAWINGO RD SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805976",
            "telephone_number": "703-255-3854",
            "fax_number": "703-255-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASENER",
        "first_name": "LEWIS",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LCSW,BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.