Glenn Blumenson LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GLENN BLUMENSON LCSW PLLC

Doing business as

Five Valleys Therapy

Practice address

111 N Higgins Ave Ste 409
Missoula, MT 59802-4433

Phone

(406) 823-0108

NPI assigned

Apr 30, 2019

Last updated

Apr 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Blumenson, LCSWNPI 1851805436

Title

Ceo

Phone

(406) 823-0108

Specialties & licenses 1

Addresses

Other names 1

• Five Valleys Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

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.

• Glenn Blumenson, LCSW

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1851805436
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1942864491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S 3RD ST W APT 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HIGGINS AVE STE 409",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024433",
            "telephone_number": "406-823-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN BLUMENSON LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "BLUMENSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-823-0108",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Valleys Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glacier Trails Counseling LLC
• Lawren Peggy Gladen, LCSW, PLLC
• Amber Rose Gladney, LCSW
• Amy Michele Glaspey, PH. D., CCC-SLP
• Ashley Glass, RN
• Brandi Glibbery, NP
• Markie Collins Glidewell, PHARMD, RPH
• Treasa Glinnwater, LCSW
• Steven David Glow, FNP
• Kelsey Jean Lyndes Glynn, MS, CCC-SLP

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.