Carissa Gluth, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801094212 Issued in MI

Practice address

21610 E 11 Mile Rd Ste 5
Saint Clair Shores, MI 48081-1671

Phone

(586) 913-1530

NPI assigned

Aug 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sacred Oak Counseling, P.L.L.C.

  • Clinical Social Worker
  • Saint Clair Shores, MI
  • NPI 1881177236
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1588912406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21610 E 11 MILE RD STE 5",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811671",
            "telephone_number": "586-913-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21610 E 11 MILE RD STE 5",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811671",
            "telephone_number": "586-913-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUTH",
        "first_name": "CARISSA",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Girson, LMSW
• Laina Glaser, LMSW
• Julie Kathleen Glassco, NCTM
• Alexandria Conley Glenn, M.D.
• Sandra J. Glovak, OTR
• George Thomas Goffas, MD
• Richard N Goich, DPM
• Ian Goldsbrough, MS, LPC
• Christopher S Goldsby, MD
• Raylynn Marie Gonzales

• Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.