Individual provider Active NPI

Amy Adair Glasser, MSW, LICSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1366586471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00007256 Issued in WA
Practice address
112 Ohio St
Suite 118
Bellingham, WA 98225-4543
Phone
(360) 392-2838
Fax
(360) 599-8999
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00007256 WA Primary

Addresses

Primary practice location

112 Ohio St
Suite 118
Bellingham, WA 98225-4543

Mailing address

7779 Ham Rd
P.O. Box 4
Custer, WA 98240-9545
Phone (360) 392-2838

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00007256WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Behavioral Management, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366586471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7779 HAM RD",
            "address_2": "P.O. BOX 4",
            "city": "CUSTER",
            "state": "WA",
            "postal_code": "982409545",
            "telephone_number": "360-392-2838",
            "fax_number": "360-599-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OHIO ST",
            "address_2": "SUITE 118",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254543",
            "telephone_number": "360-392-2838",
            "fax_number": "360-599-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "AMY",
        "middle_name": "ADAIR",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.