Active NPI
Marcia Glass Siegel
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1740536002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03661
- Practice address
- 3314 Shelburne Rd
Baltimore, MD 21208-5625 - Phone
- (443) 257-9053
- Fax
- (410) 764-6476
- NPI assigned
- Jul 24, 2012
- 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 | 03661 | MD | Primary |
Addresses
Primary practice location
3314 Shelburne Rd
Baltimore, MD 21208-5625
Mailing address
3314 Shelburne Rd
Baltimore, MD 21208-5625
Phone (443) 257-9053
Other names 1
- Marcia Glass-Siegel
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 |
|---|---|---|---|
| 03661 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1740536002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3314 SHELBURNE RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212085625",
"telephone_number": "443-257-9053",
"fax_number": "410-764-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3314 SHELBURNE RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212085625",
"telephone_number": "443-257-9053",
"fax_number": "410-764-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS SIEGEL",
"first_name": "MARCIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "03661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCIA",
"last_name": "GLASS-SIEGEL",
"credential": "LCSW-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Baltimore, MD
- Glass Health Programs, Inc. (MedMark Treatment Centers - Baltimore Downtown 201)
- Glass Health Programs, Inc.
- Glass Health Programs, Inc. (MedMark Treamtment Programs Cherry Hill IOP)
- Glass Health Programs, Inc. (MedMark Treatment Centers - Baltimore Downtown 101)
- Glass Health Systems, LLC
- Margaret Marie Glass-Lane, LCSW-C
- Florence Glass
- Sheldon David Glass, M.D.
- Thomas Glass
- Herman Glassband, P.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.