Active NPI
Gail M Glick, LCSW-C
- Clinical Social Worker
- Frederick, MD
National Provider Identifier
1487766770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03205
- Practice address
- 172 Thomas Johnson Dr Ste 204
Frederick, MD 21702-4404 - Phone
- (301) 663-8343
- Fax
- (301) 695-0746
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 03205 | MD | Primary |
Addresses
Primary practice location
172 Thomas Johnson Dr Ste 204
Frederick, MD 21702-4404
Mailing address
172 Thomas Johnson Dr Ste 204
Frederick, MD 21702-4404
Phone (301) 663-8343
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03205 | MD | MD | Intellectual & Developmental Disabilities Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allan Lloyd Levy MD PC | Clinical | 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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246579200000",
"number": "1487766770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 THOMAS JOHNSON DR STE 204",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024404",
"telephone_number": "301-663-8343",
"fax_number": "301-695-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 THOMAS JOHNSON DR STE 204",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024404",
"telephone_number": "301-663-8343",
"fax_number": "301-695-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICK",
"first_name": "GAIL",
"middle_name": "M",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "03205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.