Active NPI
Glenda Mae Janzen, LICSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1821174616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5597
- Practice address
- 1165 Arcade St
Saint Paul, MN 55106-2615 - Phone
- (651) 772-5568
- Fax
- (651) 772-5656
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5597 | MN | Primary |
Addresses
Primary practice location
1165 Arcade St
Saint Paul, MN 55106-2615
Mailing address
1165 Arcade St
Saint Paul, MN 55106-2615
Phone (651) 772-5568
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA431104226 | Other | MN | PREFFERED ONE |
| 323P9JA | Other | MN | BCBS |
| HP29342 | Other | MN | HEALTH PARTNERS |
| 121386P051 | Other | MN | UCARE |
| 367155100 | Medicaid | MN | |
| 6267201 | Other | MN | MEDICA |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway Virtu-Health | Past | Accepting new patients |
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.
-
- Family Nurse Practitioner
- Shoreview, MN
- NPI 1073134284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821174616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 ARCADE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551062615",
"telephone_number": "651-772-5568",
"fax_number": "651-772-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 ARCADE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551062615",
"telephone_number": "651-772-5568",
"fax_number": "651-772-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANZEN",
"first_name": "GLENDA",
"middle_name": "MAE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "5597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFFERED ONE",
"identifier": "NA431104226",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "323P9JA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP29342",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "121386P051",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "367155100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6267201",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.