Individual provider Active NPI

Glendine Soiseth, LMSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1992071526
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-15768 Issued in AZ
Practice address
7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113
Phone
(602) 420-3379
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13123 AZ
Social Worker 104100000X 16952 MN
Clinical Social Worker 1041C0700X LCSW-15768 AZ Primary

Addresses

Primary practice location

7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113

Mailing address

7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113
Phone (602) 420-3379

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13123AZMDSocial Worker
16952MNMDSocial Worker
LCSW-15768AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1992071526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548113",
            "telephone_number": "602-420-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548113",
            "telephone_number": "602-420-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOISETH",
        "first_name": "GLENDINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "13123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "16952",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-15768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.