MR. MICHAEL GLENN LICSW NPI 1750425179

NPI Information

NPI: 1750425179
Provider Name: MR. MICHAEL GLENN, LICSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
37 TANAGER ST
ARLINGTON, MA
ZIP 02476
Phone: (781) 646-1914
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MR. Michael Glenn, LICSW is a counselor in Arlington, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Michael Glenn, LICSW NPI is 1750425179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

37 TANAGER ST
ARLINGTON, MA
ZIP 02476-734
Phone: (781) 646-1914

The enumeration date for this NPI number is 2/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		102778	MASSACHUSETTS	Yes
2	101YM0800X	Counselor	Mental Health	102778	MASSACHUSETTS	X
3	101YP2500X	Counselor	Professional	102778	MASSACHUSETTS	X
4	101YS0200X	Counselor	School	102778	MASSACHUSETTS	X
5	104100000X	Social Worker		102778	MASSACHUSETTS	X
6	1041C0700X	Social Worker	Clinical	102778	MASSACHUSETTS	X
7	106H00000X	Marriage & Family Therapist		102778	MASSACHUSETTS	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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