Individual provider Active NPI

Glenna Rambow, LLBSW

  • Social Worker
  • Farmington Hills, MI
National Provider Identifier
1609227925
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802089094 Issued in MI
Practice address
30311 Hunters Dr Apt 3903
Farmington Hills, MI 48334-1353
Phone
(248) 820-0285
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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 6802089094 MI Primary

Addresses

Primary practice location

30311 Hunters Dr Apt 3903
Farmington Hills, MI 48334-1353

Mailing address

30311 Hunters Dr Apt 3903
Farmington Hills, MI 48334-1353
Phone (248) 820-0285

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
6802089094MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1609227925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30311 HUNTERS DR APT 3903",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341353",
            "telephone_number": "248-820-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30311 HUNTERS DR APT 3903",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341353",
            "telephone_number": "248-820-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBOW",
        "first_name": "GLENNA",
        "credential": "LLBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.