LAUREL STANLEY GLYNN
NPI 1104332410
Social Worker in Charlotte, NC

Q: What is Laurel Stanley Glynn's NPI number?

The NPI number for Laurel Stanley Glynn is 1104332410. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Q: What is Laurel Stanley Glynn's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since December 21, 2017PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2171 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2019, Feb 12, 2019, Jan 16, 2019 and 4 more (7 updates tracked since 2017).

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About Laurel Stanley Glynn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREL STANLEY GLYNN (NPI 1104332410) is an individual social worker in Charlotte, North Carolina, licensed in North Carolina (C011048) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104332410

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameLAUREL STANLEY GLYNN

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address1000 Blythe BlvdCharlotte, NC 28203-5812

Phone(704) 355-2171

Sole ProprietorNo

Enumeration DateDecember 21, 2017

Last NPPES UpdateFebruary 26, 20197 updates tracked since enumeration

✔ NPI 1104332410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NC · C011048

Definition

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.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurel Stanley Glynn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Laurel Stanley Glynn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Talkspace Medical Services Ny PC

537 mi

Mental Health (Including Community Mental Health Center)

2578 BROADWAY # 607
New York, NY 10025

Reassigned Medicare billing, New York enrollment
94 clinicians in this Medicare group

NPI 1790475556 (212) 284-7206

Grow Healthcare Group PA

651 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, New York enrollment
867 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)