Active NPI
Jessica A Glass, LCSW
- Clinical Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0727141
- Practice address
- 134 N 4TH St
Brooklyn, NY 11249-3296 - Phone
- (917) 701-6297
- NPI assigned
- Jan 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0727141 | NY | Primary |
Addresses
Primary practice location
134 N 4TH St
Brooklyn, NY 11249-3296
Mailing address
134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748
139 Centre St
Suite 824
New York, NY 10013-4558
Phone (646) 450-7748
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072714 | NY | MD | Clinical Social Worker |
| 0727141 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Medical, P.C. | Clinical | Current | Accepting new patients |
| The Fortune Society Inc. | Clinical | Current | Accepting new patients |
| Sun River Health Inc. | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Catholic Charities Neigborhood Services | Clinical | Past | Accepting new patients |
| The Fortune Society | Past | Accepting new patients | |
| Catholic Charities Neighborhood Services, Inc. | Past | Accepting new patients | |
| Transitional Services for New York,Inc. | Past | Accepting new patients | |
| Transitional Services for New York, Inc | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
134 N 4th St
Brooklyn, NY 11249
803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700
2976 Northern Blvd
Long Island City, NY 11101
Phone (212) 691-7554
2976 Northern Blvd
Fl 2
Long Island City, NY 11101
Phone (212) 691-7554
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Addiction (Substance Use Disorder) Counselor
- Long Island City, NY
- NPI 1235357237
Clinical
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1548373921
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Long Island City, NY
- NPI 1952079089
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1457418337
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1861644148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712448000000",
"number": "1992857171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 N 4TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112493296",
"telephone_number": "646-450-7748",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 N 4TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112493296",
"telephone_number": "917-701-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0727141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.