NPIMap

Organization Active NPI

Margaret Rose Glenn Counseling, PLLC

Doing business as Margaret Rose Glenn Counseling

  • Clinical Social Worker
  • Fleming Island, FL
National Provider Identifier
1760866610
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3666 Issued in FL
Legal business name
MARGARET ROSE GLENN COUNSELING, PLLC
Doing business as
Margaret Rose Glenn Counseling
Practice address
4375 US Highway 17
Suite 103
Fleming Island, FL 32003-4832
Phone
(904) 236-0507
Fax
(904) 269-0499
NPI assigned
Jul 9, 2015
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MARGARET ROSE GLENN COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Ms. Margaret Rose Glenn, MSWNPI 1053727826
Title
LCSW
Phone
(904) 236-0507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW3666 FL Primary

Addresses

Primary practice location

4375 US Highway 17
Suite 103
Fleming Island, FL 32003-4832

Mailing address

4375 US Highway 17
Suite 103
Fleming Island, FL 32003-4832
Phone (904) 236-0507

Other identifiers 1

IdentifierTypeStateIssuer
1053727826OtherNPPES

Other names 1

  • Margaret Rose Glenn Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1760866610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 US HIGHWAY 17",
            "address_2": "SUITE 103",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034832",
            "telephone_number": "904-236-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 US HIGHWAY 17",
            "address_2": "SUITE 103",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034832",
            "telephone_number": "904-236-0507",
            "fax_number": "904-269-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET ROSE GLENN COUNSELING, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARGARET ROSE GLENN COUNSELING",
        "enumeration_date": "2015-07-09",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "904-236-0507",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1053727826",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margaret Rose Glenn Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.