Active NPI
Michael Glenn, LICSW
- Clinical Social Worker
- Arlington, MA
National Provider Identifier
1750425179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102778
- Practice address
- 37 Tanager St
Arlington, MA 02476-5734 - Phone
- (781) 646-1914
- NPI assigned
- Feb 18, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 102778 | MA | |
| Mental Health Counselor | 101YM0800X | 102778 | MA | |
| Professional Counselor | 101YP2500X | 102778 | MA | |
| School Counselor | 101YS0200X | 102778 | MA | |
| Social Worker | 104100000X | 102778 | MA | |
| Clinical Social Worker | 1041C0700X | 102778 | MA | Primary |
| Marriage & Family Therapist | 106H00000X | 102778 | MA |
Addresses
Primary practice location
37 Tanager St
Arlington, MA 02476-5734
Mailing address
37 Tanager St
Arlington, MA 02476-5734
Phone (781) 646-1914
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 |
|---|---|---|---|
| 102778 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1750425179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 TANAGER ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024765734",
"telephone_number": "781-646-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 TANAGER ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024765734",
"telephone_number": "781-646-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "102778",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "102778",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "102778",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": "102778",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "102778",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "102778",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "102778",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.