Individual provider Active NPI

Janice Glenn-Slaughter, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1821869967
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097052-01 Issued in NY
Practice address
239 E 121St St
New York, NY 10035-3021
Phone
(917) 492-2582
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097052-01 NY Primary

Addresses

Primary practice location

239 E 121St St
New York, NY 10035-3021

Mailing address

120 Wall St Ste 1700
New York, NY 10005-4001

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
097052-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey House, Inc CurrentSince Jan 19, 2025 Accepting new patients

Locations

120 Wall St
Ste 1700
New York, NY 10005

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1821869967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WALL ST STE 1700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E 121ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353021",
            "telephone_number": "917-492-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN-SLAUGHTER",
        "first_name": "JANICE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097052-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.