Individual provider Active NPI

Tierra S Glymph, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1841923232
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013977 Issued in VA
Practice address
228 S Washington St Ste 310
Alexandria, VA 22314-5404
Phone
(703) 935-0058
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09040130 VA
Clinical Social Worker 1041C0700X 0904013977 VA Primary

Addresses

Primary practice location

228 S Washington St Ste 310
Alexandria, VA 22314-5404

Mailing address

5022 Ames St NE
Washington, DC 20019-5309
Phone (202) 823-2745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20260626002098 DC Practitioner - Clinical Social Worker 4385117787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2100 Washington Blvd
FL 4
Arlington, VA 22204-5717

5022 Ames St NE
Washington, DC 20019-5309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09040130VAMDClinical Social Worker
0904013977VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd Cowan, LLC CurrentSince Nov 24, 2025 Accepting new patients
Dr. Goldberg & Associates PastSince Jul 10, 2022 Accepting new patients

Locations

228 S Washington St
Ste 310
Alexandria, VA 22314
Phone (917) 841-5184

110 Pleasant St NW
Ste D
Vienna, VA 22180

Organizations & group practices 3

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1841923232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 AMES ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195309",
            "telephone_number": "202-823-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S WASHINGTON ST STE 310",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145404",
            "telephone_number": "703-935-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYMPH",
        "first_name": "TIERRA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "09040130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.