Active NPI
Clinical Therapeutic Support LCSW PC
- Clinical Social Worker
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CLINICAL THERAPEUTIC SUPPORT LCSW PC
- Practice address
- 329 Lincoln St Apt 102
Waltham, MA 02451-2187 - Phone
- (866) 525-2766
- NPI assigned
- Feb 15, 2024
- Last updated
- Feb 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greta Marie Gleissner
- Title
- Ceo
- Phone
- (917) 373-4557
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
329 Lincoln St Apt 102
Waltham, MA 02451-2187
Mailing address
459 Columbus Ave Ste 124
New York, NY 10024-5129
Phone (917) 373-4557
National Provider Directory
National Provider Directory- Tax ID family
- Clinical Therapeutic Support LCSW PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Eating Disorder Recovery Specialists
- Clinical Social Worker
- New York, NY
- NPI 1851805345
-
dba Eating Disorder and Mental Health Recovery Specialists
- Clinical Social Worker
- Denver, CO
- NPI 1922879584
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- New York, NY
- NPI 1881928539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707955200000",
"number": "1538924964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 COLUMBUS AVE STE 124",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245129",
"telephone_number": "917-373-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 LINCOLN ST APT 102",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024512187",
"telephone_number": "866-525-2766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL THERAPEUTIC SUPPORT LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A",
"authorized_official_last_name": "GLEISSNER",
"authorized_official_first_name": "GRETA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-373-4557"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.