Debra S Gluck MSW LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DEBRA S GLUCK MSW LCSW LLC

Practice address

1704 Maxwell Drive
Suite 204
Wall, NJ 07719-3852

Phone

(732) 898-0764

Fax

(732) 898-0765

NPI assigned

Mar 2, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Debra Susan Gluck, LCSWNPI 1548236078

Title

Owner, Licensed Clinical Social W

Phone

(732) 898-0764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Debra Susan Gluck, MSW, LCSW

  • Clinical Social Worker
  • Wall, NJ
  • NPI 1548236078

  Clinical, NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1770723942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MAXWELL DRIVE",
            "address_2": "SUITE 204",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193852",
            "telephone_number": "732-898-0764",
            "fax_number": "732-898-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MAXWELL DRIVE",
            "address_2": "SUITE 204",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193852",
            "telephone_number": "732-898-0764",
            "fax_number": "732-898-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA S GLUCK MSW LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "GLUCK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER, LICENSED CLINICAL SOCIAL W",
        "authorized_official_telephone_number": "732-898-0764",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Clear Diagnostics Services Inc
• Susan Jane Curley, DDS
• Brian Daniel D'Allura, OD
• Stephanie D'Allura
• Dallura Eye Care
• Anthony Defazio, MA
• Digital Diagnostics, Inc.
• Iris Dubetsky, P.A.
• Alexis Duplak
• Easter Seals New Jersey

• All providers in Wall, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.