Glen David Wernick

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002981-01 Issued in NY

Practice address

1422 Nelson Ave Apt 2F
Bronx, NY 10452-1735

Phone

(332) 257-8821

NPI assigned

Jan 5, 2023

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1528771409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 NELSON AVE APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521735",
            "telephone_number": "332-257-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 NELSON AVE APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521735",
            "telephone_number": "332-257-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNICK",
        "first_name": "GLEN",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002981-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wentworth Materials Inc
• Deborah Werberg-Caimares, M.A.,CCC-SLP,TSHH
• Olga Werchola, DDS
• Carey Elizabeth Werley
• Craig Werner, M.D., PH.D.
• Jordan Werst, PA
• Christian Wertenbaker, MD
• Naomi Leah Greenfield Wertenteil
• Iris Wertheimer, AU.D.
• Mackenzie Paige Werther

• Mental Health Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.