Active NPI
Beth Snider Glick, LICSW
- School Counselor
- Lexington, MA
National Provider Identifier
1659852721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 1021715
- Practice address
- 9 Philip Rd
Lexington, MA 02421-6022 - Phone
- (781) 861-2500
- Fax
- (781) 861-2615
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1021715 | MA | Primary |
Addresses
Primary practice location
9 Philip Rd
Lexington, MA 02421-6022
Mailing address
9 Philip Rd
Lexington, MA 02421-6022
Phone (781) 861-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021715 | Medicaid | MA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021715 | MA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1659852721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PHILIP RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024216022",
"telephone_number": "781-861-2500",
"fax_number": "781-861-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 PHILIP RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024216022",
"telephone_number": "781-861-2500",
"fax_number": "781-861-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICK",
"first_name": "BETH",
"middle_name": "SNIDER",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": "1021715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021715",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.