Organization Active NPI

Glendaly Valle-Izquierdo

  • Clinical Social Worker
  • New Britain, CT
National Provider Identifier
1649737602
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GLENDALY VALLE-IZQUIERDO
Practice address
130 W Main St
New Britain, CT 06052-1315
Phone
(203) 707-6399
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Glendaly Valle Izquierdo, LCSWNPI 1780090936
Title
Owner
Phone
(203) 707-6399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

130 W Main St
New Britain, CT 06052-1315

Mailing address

130 W Main St
New Britain, CT 06052-1315
Phone (203) 707-6399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260424001783 CT Part B Supplier - Clinic/Group Practice 3779050968 Receives reassigned benefits from 1 practitioner
Practice locations: New Britain, CT

National Provider Directory

National Provider Directory

Locations

130 W Main St
New Britain, CT 06052
Phone (203) 707-6399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1649737602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521315",
            "telephone_number": "203-707-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521315",
            "telephone_number": "203-707-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALY VALLE-IZQUIERDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "VALLE IZQUIERDO",
        "authorized_official_first_name": "GLENDALY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-707-6399",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.