KASSONDRA GLENN LCSW NPI 1942800495

NPI Information

  • NPI: 1942800495
  • Provider Name: KASSONDRA GLENN, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 1331 PARK AVE SW
    ALBUQUERQUE, NM
    ZIP 87102
  • Phone: (917) 819-2883

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NPI Details

Kassondra Glenn, LCSW is a clinical social worker in Albuquerque, NM. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Kassondra Glenn, LCSW NPI is 1942800495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1331 PARK AVE SW
ALBUQUERQUE, NM
ZIP 87102-565
Phone: (917) 819-2883

The enumeration date for this NPI number is 10/26/2020 and was last updated on 6/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerM-11417NEW MEXICONo
2104100000XSocial Worker109505NEW YORKNo
31041C0700XSocial WorkerClinicalCSW.09928813COLORADONo
41041C0700XSocial WorkerClinicalSWB-2022-1045NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
192635849MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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