Individual provider Active NPI

Dameon Thane Glasser, MSW, LGSW

  • Clinical Social Worker
  • Buckhannon, WV
National Provider Identifier
1740128354
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BP00947499 Issued in WV
Practice address
1362 Mountain Ridge Rd
Buckhannon, WV 26201-5117
Phone
(304) 997-5609
Fax
(304) 592-4211
NPI assigned
Mar 24, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BP00947499 WV
Clinical Social Worker 1041C0700X BP00947499 WV Primary

Addresses

Primary practice location

1362 Mountain Ridge Rd
Buckhannon, WV 26201-5117

Mailing address

5234 Little Sand Run Rd
Buckhannon, WV 26201-5055

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

LicenseStateTypeSpecialty
BP00947499WVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1740128354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5234 LITTLE SAND RUN RD",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262015055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 MOUNTAIN RIDGE RD",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262015117",
            "telephone_number": "304-997-5609",
            "fax_number": "304-592-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "DAMEON",
        "middle_name": "THANE",
        "credential": "MSW, LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WV",
            "license": "BP00947499",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00947499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.