Active NPI
Tierra S Glymph, LCSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1841923232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904013977
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09040130 | VA | MD | Clinical Social Worker |
| 0904013977 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boyd Cowan, LLC | Current | Accepting new patients | |
| Dr. Goldberg & Associates | Past | 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.
-
- Community/Behavioral Health Agency
- Arlington, VA
- NPI 1043280415
DC
-
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, VA
- NPI 1801353719
-
- Clinical Psychologist
- Vienna, VA
- NPI 1437586526
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.