Simone Vivian Glueck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

74512 Issued in CA

Practice address

15301 Tyler Foote Rd
Nevada City, CA 95959-9318

Phone

(530) 292-3478

Fax

(530) 292-4296

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Indiana University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sierra Family Medical Clinic IncGroup PAC ID 8224192927, 7 clinicians

Western Sierra Medical Clinic IncGroup PAC ID 3971571217, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: simone.glueck@wsmc1.eclinicaldirectplus.com

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.

• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nevada City, CA
  • NPI 1316169618
  Medicare reassignment Care Compare group NPD
• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nevada City, CA
  • NPI 1427827161
  Care Compare group NPD

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1851050512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 995",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959450995",
            "telephone_number": "530-292-3478",
            "fax_number": "530-292-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 TYLER FOOTE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599318",
            "telephone_number": "530-292-3478",
            "fax_number": "530-292-4296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8676 Marysville Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon House",
            "state": "CA",
            "postal_code": "959629718",
            "country_code": "US",
            "telephone_number": "530-292-3478",
            "fax_number": "530-292-4296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Providence Mine Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959592949",
            "country_code": "US",
            "telephone_number": "530-292-3478",
            "fax_number": "530-292-4296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLUECK",
        "first_name": "SIMONE",
        "middle_name": "VIVIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loran Gillaspy, RADT I
• Cindy Leigh Gilmore, M.S.
• Brian Ginsberg
• Allison Gjertsen
• Susan Rafferty Glad, M.S.W.
• Elysse Goerss
• Gold Country Community Services
• Sandra C Goldberg, ND, LAC
• Melanya Emelia Gonshorowski
• Elizabeth Gonzales

• Clinical Social Worker in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.

Verify at the official NPI Registry.