Individual provider Active NPI

Linda K Glazer, LCSW

  • Specialist
  • Great Neck, NY
National Provider Identifier
1497795108
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PRO28115-1 Issued in NY
Practice address
20 Canterbury Rd
Great Neck, NY 11021-2122
Phone
(516) 829-3924
Fax
(516) 773-7738
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PRO28115-1 NY Primary

Addresses

Primary practice location

20 Canterbury Rd
Great Neck, NY 11021-2122

Mailing address

14 Darley Rd
Great Neck, NY 11021-4635
Phone (516) 773-7738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140715000844 NY Practitioner - Clinical Social Worker 5597980102 Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Darley Rd
Great Neck, NY 11021-4635

20 Canterbury Rd
Great Neck, NY 11021-2122
Phone (516) 829-3924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRO28115-1NYMDSpecialist
028115NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jospeh W Newirth PHD PC Psychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1497795108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DARLEY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214635",
            "telephone_number": "516-773-7738",
            "fax_number": "516-773-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CANTERBURY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212122",
            "telephone_number": "516-829-3924",
            "fax_number": "516-773-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "LINDA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "PRO28115-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.