Organization Active NPI

Jessica Glenn Therapy PLLC

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1780146415
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JESSICA GLENN THERAPY PLLC
Practice address
4100 Spring Valley Rd Ste 511
Dallas, TX 75244-3678
Phone
(469) 759-3966
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Jessica Lea Glenn, LCSWNPI 1689971301
Title
Licensed Clinical Social Worker
Phone
(469) 759-3966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4100 Spring Valley Rd Ste 511
Dallas, TX 75244-3678

Mailing address

4100 Spring Valley Rd Ste 511
Dallas, TX 75244-3678

National Provider Directory

National Provider Directory

Locations

4100 Spring Vly
Ste 511
Dallas, TX 75244
Phone (972) 467-7605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1780146415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD STE 511",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD STE 511",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443678",
            "telephone_number": "469-759-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA GLENN THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "469-759-3966",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.