Alan Glass,LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8759 Issued in SC

Legal business name

ALAN GLASS,LLC

Practice address

109 Ash St
Suite D
North Myrtle Beach, SC 29582-3093

Phone

(843) 427-4429

NPI assigned

Jan 14, 2009

Organization subpart

No

Name

Mr. Alan Glass, MSW,MS

Title

Manager

Phone

(843) 427-4429

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2009.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1083851901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ASH ST",
            "address_2": "SUITE D",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823093",
            "telephone_number": "843-427-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ASH ST",
            "address_2": "SUITE D",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823093",
            "telephone_number": "843-427-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN GLASS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-427-4429",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW,MS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "SW8759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in North Myrtle Beach, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.