JOANN GLEN (NPI# 1720622442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720622442 |
| Entity Type | Individual |
| Full Name | JOANN GLEN |
| Credential | MDIV |
| Practice Address |
645 S Rogers St Bloomington IN 47403-2353 |
| Practice Telephone | 8123391691 |
| Mailing Telephone | 8123391691 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
645 S ROGERS ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198316 | Scott A. Callaghan | Social Worker | 645 S Rogers St, Bloomington, IN 47403 | 2005-07-18 |
| 1659978591 | Shaleni Anne Watts | Nurse Practitioner | 645 S Rogers St, Bloomington, IN 47403-2353 | 2020-10-05 |
| 1356978365 | Sonila D Zajmi | Counselor | 645 S Rogers St, Bloomington, IN 47403-2353 | 2020-03-27 |
| 1750915831 | Lance Schattner | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2020-02-27 |
| 1821649476 | Mary Harsin | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2019-09-25 |
| 1497305791 | Johnson Nichols Health Clinic, Inc. | Counselor | 645 S Rogers St, Bloomington, IN 47403-2353 | 2019-09-18 |
| 1679122923 | Samuel Barbash-riley | Social Worker | 645 S Rogers St, Bloomington, IN 47403-2353 | 2019-09-10 |
| 1629530464 | Thomas D Phelps | Counselor | 645 S Rogers St, Bloomington, IN 47403-2353 | 2019-04-02 |
| 1104301175 | Holly Farabaugh | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2018-09-26 |
| 1669956926 | Mary Florence | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2018-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427177302 | Professional Case Management Services, Inc. | Case Manager/Care Coordinator | 4794 Conti St, Bloomington, IN 47404-9089 | 2007-03-29 |
| 1992310288 | Salmo Abdiwahab Abdikarim | Case Manager/Care Coordinator | 9217 17th Ave S Ste 214, Bloomington, MN 55425-2372 | 2020-09-13 |
| 1750915831 | Lance Schattner | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2020-02-27 |
| 1821649476 | Mary Harsin | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2019-09-25 |
| 1104301175 | Holly Farabaugh | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2018-09-26 |
| 1669956926 | Mary Florence | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2018-09-21 |
| 1669955977 | Catherine Burns | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2018-09-12 |
| 1467935197 | Elizabeth Felsman | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2018-09-10 |
| 1720560386 | Cinnamon Miller-duncil | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2018-08-30 |
| 1982186557 | Taylor Painter | Case Manager/Care Coordinator | 645 S Rogers St, Bloomington, IN 47403-2353 | 2018-08-30 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| 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.