Organization Active NPI

Diane Glass, LCSW, LCC

  • Clinical Social Worker
  • Wheat Ridge, CO
National Provider Identifier
1912451543
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
989858 Issued in CO
Legal business name
DIANE GLASS, LCSW, LCC
Practice address
4251 Kipling St
Suite 345
Wheat Ridge, CO 80033-2896
Phone
(303) 235-0915
NPI assigned
Aug 11, 2016
Last updated
Aug 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Diane GlassNPI 1114353513
Title
LCSW
Phone
(303) 514-3764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 989858 CO Primary

Addresses

Primary practice location

4251 Kipling St
Suite 345
Wheat Ridge, CO 80033-2896

Mailing address

4251 Kipling St
Suite 345
Wheat Ridge, CO 80033-2896
Phone (303) 235-0915

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1912451543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST",
            "address_2": "SUITE 345",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332896",
            "telephone_number": "303-235-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST",
            "address_2": "SUITE 345",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332896",
            "telephone_number": "303-235-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE GLASS, LCSW, LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "303-514-3764"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.