Glenn Joseph Beatty, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0890000229 Issued in VT

Practice address

351 North Ave Burlington
Burlington, VT 05401

Phone

(802) 658-6110

Fax

(802) 860-0451

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Loretto-Kervick Homes

  • Adult Care Home Facility
  • Rutland, VT
  • NPI 1477664530
  NPD (past)
• Loretto-Kervick Homes

  • Adult Care Home Facility
  • Rutland, VT
  • NPI 1558465856
  NPD (past)
• Pincombe & Willis

  dba 802 Eye Care

  • Optometrist
  • South Burlington, VT
  • NPI 1558770594
  NPD (past)
• Vermont Catholic Charities, Inc

  • Voluntary or Charitable Agency
  • South Burlington, VT
  • NPI 1811068661
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700892114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NORTH AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-658-6110",
            "fax_number": "802-860-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NORTH AVE BURLINGTON",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-658-6110",
            "fax_number": "802-860-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "GLENN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VT",
            "license": "0890000229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008247",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Douglas Beal, DO
• David Beams, LCMHC
• Catherine Bean, RN
• Kathryn C Bean, RD, LD
• Victoria Rose Bean, PTA
• Rebecca O Beaudoin, R.N., C.D.E
• Jennifer Bechard, PHARM D
• Monique Bedard, MS, LCMHC
• Tanesha Beebe-Peat, MD
• Justin Beebe

• Social Worker in Burlington, VT
• Providers in Burlington, VT by specialty
• Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.