Meredith Glick, A.M., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010685 Issued in IL

Practice address

4637 N Manor Ave
Chicago, IL 60625-3717

Phone

(773) 610-1049

Fax

(773) 477-7109

NPI assigned

Jul 21, 2007

Last updated

Jan 7, 2020By the provider in NPPES

Sex

Female

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1588864193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 N MANOR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253717",
            "telephone_number": "773-610-1049",
            "fax_number": "773-477-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 N MANOR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253717",
            "telephone_number": "773-610-1049",
            "fax_number": "773-477-7109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 W Wilson Ave",
            "address_2": "Suite 5115",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405255",
            "country_code": "US",
            "telephone_number": "773-610-1049",
            "fax_number": "773-477-7109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICK",
        "first_name": "MEREDITH",
        "credential": "A.M., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-21",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nida Gleveckas-Martens, D.O.
• Anastasia Gliatis
• David Glick
• Jill Glick
• Julia Glick, DPT
• Nancy R Glick, M.D.
• Nicole Glick
• Robert S Glick, DPM
• Roberta Pearl Glick, MD
• Susan Glick, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.