Active NPI
Yolanda Glass, LICSW, LCSW-C
- Clinical Social Worker
- Richfield, MN
National Provider Identifier
1992101588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 32420
- Practice address
- 2400 W 64TH St
Richfield, MN 55423-1001 - Phone
- (612) 331-9413
- NPI assigned
- Nov 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50080095 | DC | |
| Clinical Social Worker | 1041C0700X | 32420 | MN | Primary |
Addresses
Primary practice location
2400 W 64TH St
Richfield, MN 55423-1001
Mailing address
7851 Eagle View Dr
Chesapeake Beach, MD 20732-4645
Phone (301) 254-1603
Other names 1
- Yolanda Nix
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50080095 | DC | MD | Clinical Social Worker |
| 32420 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fraser Child and Family Center | Current | Accepting new patients |
Locations
9120 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 231-2590
2400 W 64th St
Richfield, MN 55423
Phone (612) 767-5166
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1609922194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1992101588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7851 EAGLE VIEW DR",
"city": "CHESAPEAKE BEACH",
"state": "MD",
"postal_code": "207324645",
"telephone_number": "301-254-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 W 64TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554231001",
"telephone_number": "612-331-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "YOLANDA",
"credential": "LICSW, LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080095",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "32420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOLANDA",
"last_name": "NIX",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.