Individual provider Active NPI

Glamarys Acevedo, ASW, IBCLC, MPH

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1720710619
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102671 Issued in CA
Practice address
2356 Sutter St
San Francisco, CA 94115-3006
Phone
(510) 679-7410
NPI assigned
Jun 29, 2022
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 102671 CA Primary
Lactation Consultant (Non-RN) 174N00000X L-110722 NU

Addresses

Primary practice location

2356 Sutter St
San Francisco, CA 94115-3006

Mailing address

2356 Sutter St
San Francisco, CA 94115-3006

Other practice location 1

675 18th St
San Francisco, CA 94143-4200
Phone (415) 476-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102671CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Black Eden Wellness LLC Current Accepting new patients
University of California San Francisco CurrentSince Jan 15, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 15, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 15, 2025 Accepting new patients
UCSF Dept of Surgery CurrentSince Jan 15, 2025 Accepting new patients
University of California San Francisco CurrentSince Jan 15, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2356 Sutter St
San Francisco, CA 94115

2356 Sutter St
Fl 6
San Francisco, CA 94115
Phone (415) 353-2170

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1720710619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153006",
            "telephone_number": "510-679-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 18th St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941434200",
            "country_code": "US",
            "telephone_number": "415-476-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "GLAMARYS",
        "credential": "ASW, IBCLC, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102671",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": "L-110722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.