Stanley Glick, LCSW, BCD, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW000778L Issued in PA

Legal business name

STANLEY GLICK, LCSW, BCD, P.C.

Practice address

412 Executive Dr
Langhorne, PA 19047-8003

Phone

(215) 321-1435

Fax

(215) 369-8258

NPI assigned

Feb 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stanley Glick, LCSWNPI 1437133568

Title

President

Phone

(215) 321-1435

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley Glick, LCSW

  • Clinical Social Worker
  • Langhorne, PA
  • NPI 1437133568

  NJ

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1619010709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 EXECUTIVE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478003",
            "telephone_number": "215-321-1435",
            "fax_number": "215-369-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 EXECUTIVE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478003",
            "telephone_number": "215-321-1435",
            "fax_number": "215-369-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY GLICK, LCSW, BCD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-321-1435",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW000778L",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00078900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.