National Provider Identifier

Cindy Lee Glanville

Cindy Lee Glanville is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 256-1167.

NPI 1700200995Ithaca, NYClinical Social Worker

Profile Overview

NPI
1700200995
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 10, 2014
Last Updated
February 10, 2014

Practice Location

  • 108 S. Albany St.
  • Ithaca, NY 14850

Phone: (607) 256-1167

Mailing Address

  • 108 S. Albany St
  • Better Life
  • Ithaca, NY 14850

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1700200995
Entity Type
Individual
Last Name
Glanville
First Name
Cindy
Middle Name
Lee
Provider Other Last Name
Glanville
Provider Other First Name
Cindy
Provider Other Middle Name
Lee
Provider Other Credential Text
CSW-R
Provider Other Last Name Type Code
2
Mailing Street Address
108 S. Albany St
Mailing Address Line 2
Better Life
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 256-1167
Mailing Fax
(607) 255-6681
Practice Street Address
108 S. Albany St.
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 256-1167
Practice Fax
(607) 255-6681
Enumeration Date
February 10, 2014
Last Updated
February 10, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
27-4649614 (NY, Group Private Practice)