Active NPI
Ernest Glazer, LCSW
- Clinical Social Worker
- Willow Grove, PA
National Provider Identifier
1497838403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014059
- Practice address
- 1120 Easton Rd
The Center for Family Development -Suite One
Willow Grove, PA 19090-1922 - Phone
- (215) 830-8430
- Fax
- (215) 830-8432
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | CW014059 | PA | Primary |
Addresses
Primary practice location
1120 Easton Rd
The Center for Family Development -Suite One
Willow Grove, PA 19090-1922
Mailing address
1224 Duncan Dr
Dresher, PA 19025-1614
Phone (215) 659-9199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CW014059 | Other | PA | LICENSED CLINICAL SOCIAL |
| 07724577 | Medicaid | PA |
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 |
|---|---|---|---|
| CW014059 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Development,LLC | 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.
-
- Clinical Social Worker
- Willow Grove, PA
- NPI 1639203904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1497838403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 DUNCAN DR",
"city": "DRESHER",
"state": "PA",
"postal_code": "190251614",
"telephone_number": "215-659-9199",
"fax_number": "215-830-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 EASTON RD",
"address_2": "THE CENTER FOR FAMILY DEVELOPMENT -SUITE ONE",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901922",
"telephone_number": "215-830-8430",
"fax_number": "215-830-8432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZER",
"first_name": "ERNEST",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL",
"identifier": "CW014059",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07724577",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.