Matthew Howard Glass, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 10707 Issued in FL

Practice address

17861 Oakmont Ridge Cir
Fort Myers, FL 33967-7202

Phone

(239) 839-5904

Fax

(239) 362-3298

NPI assigned

Aug 3, 2012

Sex

Male

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 FL

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

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clear Choice Elder Health Care Solutions LLC

  • Clinical Social Worker
  • Fort Myers, FL
  • NPI 1326394784
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1972859338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 ESTERO PARK COMMONS BLVD",
            "address_2": "STE 2",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283218",
            "telephone_number": "239-839-5904",
            "fax_number": "239-495-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17861 OAKMONT RIDGE CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339677202",
            "telephone_number": "239-839-5904",
            "fax_number": "239-362-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "MATTHEW",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladiolus Medical Center Corp.
• Gladiolus Surgery Center , LLC
• Traci Joy Glanz, DNP-FNP-C
• Amanda Rose Glass
• Mary Elizabeth Glass, LMHC, CRCC
• Susan Kay Glass, LPN
• L. Diane Glasscock, LMHC
• Glasses RX, LLC
• Glasses RX, LLC
• Alison A. Glassman, PA

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.