Kennedy Ann Glass, is a
Counselor - Addiction (substance Use Disorder) based in Siler City, North Carolina. Kennedy Ann Glass is licensed to practice in North Carolina (license number LCAS-28246) and her current practice location is
1105 E Cardinal St, Siler City, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 663-2955.
NPI number for Kennedy Ann Glass is 1407580400 and her current mailing address is 248 Executive Park Dr, Ste 100, Concord, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407580400.
Healthcare Provider's Profile
Full Name | Kennedy Ann Glass |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 1105 E Cardinal St, Siler City, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407580400
- Provider Enumeration Date: 07/14/2022
- Last Update Date: 08/24/2022
Medical Identifiers
Medical identifiers for Kennedy Ann Glass such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407580400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | P017726 (North Carolina) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-28246 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kennedy Ann Glass is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kennedy Ann Glass, 248 Executive Park Dr, Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Kennedy Ann Glass, 1105 E Cardinal St, Siler City, NC 27344-3300 Ph: (919) 663-2955 |
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