Glen Thomas Segond, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW004643L Issued in PA

Practice address

117 Broad St
Stroudsburg, PA 18360-1534

Phone

(570) 424-6049

Fax

(570) 424-0917

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629189378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2205",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019639",
            "telephone_number": "570-424-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BROAD ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601534",
            "telephone_number": "570-424-6049",
            "fax_number": "570-424-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOND",
        "first_name": "GLEN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW004643L",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05112500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5013039",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS FED EMPL PROV",
            "identifier": "SE690000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Sauco, DDS
• Patricia Ann Schiavone, D.M.D.
• Eric Kurt Schwedler, RPH
• Stephen Sedlak, ATC
• Shantal Seerattan, FNP-BC
• Sarahjean Seymour, CRNP
• Reem Shakeel, MD
• Zohrah Shareh
• Sarita Sharpe
• Amanda N Shears

• Clinical Social Worker in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.