Felicia M. Glick, LCSW – Clinical Social Worker

Key facts

NPI: 1215944327
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 105894 (TX)
Practice address: 111 W Mulberry St
Kaufman, TX 75142-2048
Phone: (949) 835-5329
Fax: (888) 393-7595
NPI assigned: Aug 2, 2006
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Pra Behavioral LLC Mental Health Counselor · Schaumburg, IL · NPI 1679546873

NPD (past) CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
105894	TX	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Pra Behavioral LLC	Clinical	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	97200	CA
Clinical Social Worker	1041C0700X	105894	TX	Yes

Addresses

Primary practice location

111 W Mulberry St
Kaufman, TX 75142-2048

Mailing address

111 W Mulberry St
Kaufman, TX 75142-2048
Phone (949) 835-5329

Other identifiers

Identifier	Type	State	Issuer
1633897	Other	IL	BCBS NUMBER

Other providers in Kaufman, TX

All providers in Kaufman, TX · Clinical Social Worker in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.