Active NPI
Michael Glancy, LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1689731135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34000397
- Practice address
- 2011 N Meridian St
Indianapolis, IN 46202-1305 - Phone
- (317) 941-2200
- Fax
- (317) 941-2208
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34000397 | IN | Primary |
Addresses
Primary practice location
2011 N Meridian St
Indianapolis, IN 46202-1305
Mailing address
2011 N Meridian St
Indianapolis, IN 46202-1305
Phone (317) 941-2200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000279694 | Other | IN | ANTHEM BCBS |
| 064958 | Other | IN | VALUE OPTIONS |
| 1055023 | Other | IN | CIGNA |
| 90197 | Other | IN | MHN |
| 0234743 | Other | IN | SAGAMORE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689731135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 N MERIDIAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021305",
"telephone_number": "317-941-2200",
"fax_number": "317-941-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 N MERIDIAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021305",
"telephone_number": "317-941-2200",
"fax_number": "317-941-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLANCY",
"first_name": "MICHAEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34000397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000279694",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "064958",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1055023",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "90197",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGAMORE",
"identifier": "0234743",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.