Glen Cognac, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19875 Issued in FL

Practice address

4700 N Congress Ave Ste 104
West Palm Beach, FL 33407-3284

Phone

(561) 316-8495

Fax

(561) 828-8531

NPI assigned

Feb 6, 2014

Last updated

Apr 25, 2022By the provider in NPPES

Sex

Male

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 FL

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

Telehealth

Offers telehealth services

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment Care Compare group NPD
• Mindy Staum, LCSW, P.a

  • Clinical Social Worker
  • Coral Springs, FL
  • NPI 1083922561
  Medicare reassignment NPD

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1669896056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE STE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073284",
            "telephone_number": "561-316-8495",
            "fax_number": "561-828-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE STE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073284",
            "telephone_number": "561-316-8495",
            "fax_number": "561-828-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGNAC",
        "first_name": "GLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Codelle
• Codental Group LLC (Affordable dentist south Florida)
• Marion Marie Codling, APRN
• Cogent Healthcare of Pensacola LLC
• Cogent Healthcare of Pensacola LLC
• Mary Ann Cohan, NP
• Adva Cohen Amir
• Ari Cohen, D.O.
• Arlene Debbie Cohen, LCSW
• Blair Ashley Cohen, DMD

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.