Ilene Glantz, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60019777 Issued in WA

Practice address

11415 NE 128TH St
Ste. 100
Kirkland, WA 98034-6314

Phone

(425) 445-5692

NPI assigned

Dec 2, 2010

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 3, 2024 through Feb 3, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1619279270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 NE 128TH ST",
            "address_2": "STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346314",
            "telephone_number": "425-445-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 NE 128TH ST",
            "address_2": "STE. 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346314",
            "telephone_number": "425-445-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANTZ",
        "first_name": "ILENE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60019777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Corey Gilmore, DC
• Kathryn Jane Gingerich, LMFTA
• Erin Kathleen Gist, MA, LMHC, CMHS
• Glad Care Homes LLC
• Aaron Christopher Glade, PH.D., LMFT
• Lisa Gleason, RD
• Kevin Gleed
• Patricia D Glenn, L.M.P., L.M.T.
• Xoatlaxopeuhtzin Glezfres, MC55245, SC11871
• Glenda Glinoga

• Clinical Social Worker in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.