Individual provider Active NPI

Glyn D Girard, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1770923377
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086780 Issued in NY
Practice address
11021 73Rd Rd Apt 1J
Forest Hills, NY 11375-6369
Phone
(929) 398-6232
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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 086780 NY Primary

Addresses

Primary practice location

11021 73Rd Rd Apt 1J
Forest Hills, NY 11375-6369

Mailing address

15840 Jewel Ave Apt TJ
Fresh Meadows, NY 11365-3037
Phone (718) 337-6800

Other practice location 1

9114 37th Ave
Jackson Heights, NY 11372-7920
Phone (718) 337-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115000291 NY Practitioner - Clinical Social Worker 3577091875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086780NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC CurrentSince Dec 1, 2024 Accepting new patients

Locations

521 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 864-8822

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

Interoperability endpoints

  • Direct secure messaging: glyn.girard.1@14448.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1770923377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 JEWEL AVE APT TJ",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653037",
            "telephone_number": "718-337-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 73RD RD APT 1J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756369",
            "telephone_number": "929-398-6232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9114 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727920",
            "country_code": "US",
            "telephone_number": "718-337-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "GLYN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.