GLENN A ROOSEVELT (NPI# 1336285964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336285964 |
| Entity Type | Individual |
| Full Name | GLENN A ROOSEVELT |
| Practice Address |
758 S 1st St Louisville KY 40202-2023 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025891100 |
| Practice Fax Number | 5025898771 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 105 | KY | Behavioral Health & Social Service Providers |
| Street Address |
758 S 1ST ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265856322 | Angela Whitten | Community Health Worker | 758 S 1st St, Louisville, KY 40202-2023 | 2014-02-10 |
| 1326478538 | Lora Henderson | Case Manager/Care Coordinator | 758 S 1st St, Center One, Louisville, KY 40202-2023 | 2013-11-25 |
| 1497041263 | Kurtis Taylor | Case Manager/Care Coordinator | 758 S 1st St, Louisville, KY 40202-2023 | 2011-06-21 |
| 1114210804 | Joan Masters | Nurse Practitioner | 758 S 1st St, Louisville, KY 40202-2023 | 2011-05-27 |
| 1447557806 | Antoya Brandon | Case Manager/Care Coordinator | 758 S 1st St, Louisville, KY 40202-2023 | 2011-02-22 |
| 1851697866 | Kara Easley | Case Manager/Care Coordinator | 758 S 1st St, Louisville, KY 40202-2023 | 2011-02-09 |
| 1477869477 | Leif Morgan | Case Manager/Care Coordinator | 758 S 1st St, Louisville, KY 40202-2023 | 2010-08-27 |
| 1588990899 | Yvonne Hemlick | Case Manager/Care Coordinator | 758 S 1st St, Louisville, KY 40202-2023 | 2009-10-21 |
| 1871829275 | Angela Brewer | Counselor | 758 S 1st St, Louisville, KY 40202-2023 | 2009-10-20 |
| 1033349618 | Brandon Smith | Marriage & Family Therapist | 758 S 1st St, Louisville, KY 40202-2023 | 2009-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479991 | Robin Conway | Social Worker | 10205 Garlanreid Pl, Louisville, KY 40223-2969 | 2020-05-19 |
| 1154970226 | Pamela Gay Baker | Social Worker | 4407 Jewell Ave, Louisville, KY 40212-2723 | 2019-09-10 |
| 1336703867 | Socialbug Integrated Counseling Services, Inc. | Social Worker | 6801 Dixie Hwy Ste 232, Louisville, KY 40258-3962 | 2019-04-30 |
| 1033698097 | Henry Lomell Buckwalter | Social Worker | 8910 Greeneway Commons Pl Ste 100, Louisville, KY 40220-4065 | 2018-08-10 |
| 1609354075 | Jessica Shea | Social Worker | 355 S Bayly Ave Apt A, Louisville, KY 40206-2574 | 2018-07-29 |
| 1790276087 | Amanda Averette-bush | Social Worker | 5521 Wilke Farm Ave, Louisville, KY 40216-1269 | 2018-05-23 |
| 1265939607 | Caree Gordon | Social Worker | 850 Washburn Ave Apt 325, Louisville, KY 40222-6787 | 2018-04-11 |
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1720528862 | Danielle Jennings | Social Worker | 4100 Waterford Cir Apt 5, Louisville, KY 40207-5244 | 2017-03-07 |
| 1912458340 | Richard Nassr | Social Worker | 117 S Crestmoor Ave, Louisville, KY 40206-2736 | 2016-10-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on GLENN A ROOSEVELT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.