Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn A Roosevelt

Individual provider Social Worker · NPI 1336285964

Glenn A Roosevelt is a Social Worker in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007

Practice location Address checks out

758 S 1st St
Louisville, KY 40202-2023
Phone: (502) 589-1100
Fax: (502) 589-8771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 105 (KY)

Record details

NPI number1336285964
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJuly 8, 2007

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