Active NPI
Tania Glenn, PSYD, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1912012170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19557
- Practice address
- 1106 Clayton LN Ste 445E
Austin, TX 78723-2414 - Phone
- (512) 323-6994
- Fax
- (512) 323-9490
- NPI assigned
- Aug 20, 2006
- 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 | 19557 | TX | Primary |
Addresses
Primary practice location
1106 Clayton LN Ste 445E
Austin, TX 78723-2414
Mailing address
1106 Clayton LN Ste 445E
Austin, TX 78723-2414
Phone (512) 323-6994
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 |
|---|---|---|---|
| 19557 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Tania Glenn & Associates, P.a. | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Austin, TX
- NPI 1619188836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912012170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 CLAYTON LN STE 445E",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232414",
"telephone_number": "512-323-6994",
"fax_number": "512-323-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 CLAYTON LN STE 445E",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232414",
"telephone_number": "512-323-6994",
"fax_number": "512-323-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "TANIA",
"credential": "PSYD, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "19557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.