Active NPI
Cindy Lee Glanville
- Clinical Social Worker
- Ithaca, NY
National Provider Identifier
1700200995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R035751-1
- Practice address
- 108 S. Albany St.
Ithaca, NY 14850 - Phone
- (607) 256-1167
- Fax
- (607) 255-6681
- NPI assigned
- Feb 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | R035751-1 | NY | Primary |
Addresses
Primary practice location
108 S. Albany St.
Ithaca, NY 14850
Mailing address
108 S. Albany St
Better Life
Ithaca, NY 14850
Phone (607) 256-1167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-4649614 | Other | NY | GROUP PRIVATE PRACTICE |
Other names 1
- Cindy Lee Glanville
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R035751-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1700200995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S. ALBANY ST",
"address_2": "BETTER LIFE",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-256-1167",
"fax_number": "607-255-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S. ALBANY ST.",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-256-1167",
"fax_number": "607-255-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLANVILLE",
"first_name": "CINDY",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R035751-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PRIVATE PRACTICE",
"identifier": "27-4649614",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CINDY",
"last_name": "GLANVILLE",
"middle_name": "LEE",
"credential": "CSW-R",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.