Healthcare Provider Details

I. General information

NPI: 1821260662
Provider Name (Legal Business Name): JINNY L GLASCO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 BIG STATION CAMP BLVD STE 201
GALLATIN TN
37066-8466
US

IV. Provider business mailing address

2004 HAYES ST STE 800
NASHVILLE TN
37203-2659
US

V. Phone/Fax

Practice location:
  • Phone: 615-451-5481
  • Fax: 615-750-1730
Mailing address:
  • Phone: 615-329-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSW4773
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: