Reggie Allen Glenn, B.A.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

8130 Country Village Dr Ste 102
Cordova, TN 38016-2087

Phone

(901) 308-2915

Fax

(901) 308-2924

NPI assigned

Jul 6, 2009

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1679702120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 COUNTRY VILLAGE DR STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162087",
            "telephone_number": "901-308-2915",
            "fax_number": "901-308-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 COUNTRY VILLAGE DR STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162087",
            "telephone_number": "901-308-2915",
            "fax_number": "901-308-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381276662",
            "country_code": "US",
            "telephone_number": "901-353-5440",
            "fax_number": "901-353-5464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "REGGIE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrick Gillam Jr., LPC-MHSP
• Samuel Baker Gintz, RBT
• Nyesha Girley
• Shantelsa L Gladney, RBT
• Katy Glass
• Jeffrey Alan Glover
• Gmac Nurse Consulting LLC
• Ifunaya Godwin
• Arvind Goel, MD
• Pietra Gois Camargo

• Social Worker in Cordova, TN
• Providers in Cordova, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.