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ELIZABETH ANNE GLASS LCSW
NPI 1619169653
Social Worker - Clinical in South Lake Tahoe, CA

Active since August 14, 2007PECOS Enrolled
2201 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-5623(530) 541-5738 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Anne Glass Lcsw NPPES

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

ELIZABETH ANNE GLASS LCSW (NPI 1619169653) is an individual clinical provider in South Lake Tahoe, California, licensed in California (LCSW67042) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619169653
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH ANNE GLASSCredential: LCSW
Location Address2201 SOUTH AVESouth Lake Tahoe, CA 96150-7025
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5659 · Fax (530) 541-8723
Phone(530) 543-5623
Fax(530) 541-5738
Sole ProprietorNo
Enumeration DateAugust 14, 2007
Last NPPES UpdateNovember 17, 2015
✔ NPI 1619169653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · LCSW67042✔ Licensed in NV · 7037-C
Definition
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.
2201 SOUTH AVE, South Lake Tahoe, CA 96150
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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)

Elizabeth Anne Glass Lcsw 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

2

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

Tahoe Carson Valley Medical Group Inc
0.1 mi
Family Medicine
2170 SOUTH AVE
South Lake Tahoe, CA 96150
  • Reassigned Medicare billing, California enrollment
  • 100 clinicians in this Medicare group
NPI 1508865528 (530) 541-3420
Tahoe Forest Hospital District
23 mi
Critical Access
880 ALDER AVE
Incline Village, NV 89451
  • Reassigned Medicare billing, Nevada enrollment
  • 37 clinicians in this Medicare group
NPI 1801957667 (775) 832-3810

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARGARET VIEIRA
Nurse Practitioner (Family)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
BARTON HEALTHCARE SYSTEM
Clinic/Center (Rural Health)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
JACQUELYN NOEL SARTORIUS PA-C
Physician Assistant
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
DR. MATTHEW PAUL WONNACOTT MD
Family Medicine
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
ANNA MARIE PETERSEN FNP-BC
Nurse Practitioner (Primary Care)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
CATHERINE GAEHWILER PA
Physician Assistant
2201 SOUTH AVE, STE B
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
DR. PAUL WILLIAM RORK MD
Family Medicine
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
TODD WILLIAM DEGIOVANNI PA-C
Physician Assistant
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Glass's NPI number?

The NPI number for Elizabeth Glass is 1619169653. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Elizabeth Glass located?

Elizabeth Glass practices at 2201 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5623.

What is Elizabeth Glass's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elizabeth Glass enrolled in Medicare?

Yes. Elizabeth Glass is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Glass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Glass reassigns Medicare benefits to 2 organizations: Tahoe Carson Valley Medical Group Inc (South Lake Tahoe, CA) and Tahoe Forest Hospital District (Incline Village, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Glass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Glass was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.