Active NPI
Sarah Glockner, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1881031672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20227
- Practice address
- 1100 Glenwood Ave
Washburn Center for Children
Minneapolis, MN 55405-1430 - Phone
- (612) 767-6319
- Fax
- (612) 871-1505
- NPI assigned
- Jun 3, 2013
- 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 | 20227 | MN | Primary |
Addresses
Primary practice location
1100 Glenwood Ave
Washburn Center for Children
Minneapolis, MN 55405-1430
Mailing address
1100 Glenwood Ave
Minneapolis, MN 55405-1430
Phone (612) 767-6319
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20227 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resiliency and Health Institute, LLC | Past | Accepting new patients | |
| Washburn Center for Children | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Counseling Psychologist
- Woodbury, MN
- NPI 1265856801
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1225136419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1881031672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 GLENWOOD AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554051430",
"telephone_number": "612-767-6319",
"fax_number": "612-871-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 GLENWOOD AVE",
"address_2": "WASHBURN CENTER FOR CHILDREN",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554051430",
"telephone_number": "612-767-6319",
"fax_number": "612-871-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOCKNER",
"first_name": "SARAH",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-03",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.