Laura Elizabeth Glenn, LICSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4242C Issued in AL

Practice address

1111 Wayne Rd NW Ste 6
Huntsville, AL 35806-3573

Phone

(256) 288-3333

Fax

(256) 288-3334

NPI assigned

Dec 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Hooves, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartselle, AL
  • NPI 1710612627
  NPD Authorized official

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1750928859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 GARY ANDERS RD",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356407307",
            "telephone_number": "256-318-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WAYNE RD NW STE 6",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063573",
            "telephone_number": "256-288-3333",
            "fax_number": "256-288-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Gary Anders Rd",
            "address_purpose": "LOCATION",
            "city": "Hartselle",
            "state": "AL",
            "postal_code": "356407307",
            "country_code": "US",
            "telephone_number": "256-318-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "LICSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4242C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glass Seating and Mobility
• Krystin Brianne Glass
• Morgan Glass, RN
• John Gleason Jr., MD
• Jacob Stewart Glen, DC
• Jessica Kate Glover
• Pamela Elise Glover, RD, LD, MS, CDE
• Erin Gluff
• Anya Gluszek
• Alaia Go

• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.