Kim Glickman, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076198 Issued in NY

Practice address

7 Pondfield Rd Ste 205
Bronxville, NY 10708-3781

Phone

(718) 795-3989

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kim L Glickman, LLC

  • Community/Behavioral Health Agency
  • Bronxville, NY
  • NPI 1619677416
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1194074872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E BIRCH ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521801",
            "telephone_number": "718-795-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PONDFIELD RD STE 205",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083781",
            "telephone_number": "718-795-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "KIM",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Ghobashy, DDS
• William Francis Giacalone, BS PHARMACY
• Nicole Rose Giampa Messina, MS TSHH
• Mary Giuffra, RN CS, LMFT
• Judith Ann Glaser, D.O.
• Mike Gnoinski, PHARMD
• Neil S Goldberg, MD
• Robin H Goldberg, MD
• Steven Joel Goldberg, DDS
• Ellen Regina Gomprecht, M.D.

• Clinical Social Worker in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.