Individual provider Active NPI

Jennifer R Glenney

  • Social Worker
  • Daytona Beach, FL
National Provider Identifier
1508757691
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
125 N Ridgewood Ave FL 2
Daytona Beach, FL 32114-3276
Phone
(386) 873-0365
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 Primary

Addresses

Primary practice location

125 N Ridgewood Ave FL 2
Daytona Beach, FL 32114-3276

Mailing address

1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone (386) 873-0365

Other practice location 1

1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone (386) 873-0365

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JGLENNEY@ESNECFL.ORG Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Northeast Central Florida, Inc. PastSince Jul 22, 2025 Accepting new patients
Easterseals Northeast Central Florida, Inc. PastSince Jul 22, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jglenney@esnecfl.org

Organizations & group practices 2

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": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1508757691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142405",
            "telephone_number": "386-873-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N RIDGEWOOD AVE FL 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143276",
            "telephone_number": "386-873-0365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Dunn Ave",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142405",
            "country_code": "US",
            "telephone_number": "386-873-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENNEY",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JGLENNEY@ESNECFL.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1219 Dunn Ave",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321142405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.