Individual provider Active NPI

Carol Glassman, LCSW, DSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1982820049
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R020894-1 Issued in NY
Practice address
105 West 13TH Street
Suite #10a
New York, NY 10011-7843
Phone
(212) 929-9746
NPI assigned
Apr 17, 2007
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R020894-1 NY Primary

Addresses

Primary practice location

105 West 13TH Street
Suite #10a
New York, NY 10011-7843

Mailing address

105 West 13TH Street
Suite #10a
New York, NY 10011-7843
Phone (212) 929-9746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20050721000874 NY Practitioner - Clinical Social Worker 6305873266 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 W 13TH St
Apt 10a
New York, NY 10011-7843
Phone (917) 992-4138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R020894-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1982820049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEST 13TH STREET",
            "address_2": "SUITE #10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117843",
            "telephone_number": "212-929-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEST 13TH STREET",
            "address_2": "SUITE #10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117843",
            "telephone_number": "212-929-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "LCSW, DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-08-01",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R020894-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.