Individual provider Active NPI

Marcia Glass Siegel

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1740536002
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03661 Issued in MD
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

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
03661MDMDClinical 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

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.

Verify at the official NPI Registry.