Jamie Glick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-12568 Issued in AZ

Practice address

1830 S. Alma School Rd
Ste. 112
Mesa, AZ 85210

Phone

(480) 730-6222

NPI assigned

Jan 2, 2009

Last updated

Jan 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Arizona Psychology Consultants, Inc.

  • Pastoral Counselor
  • Mesa, AZ
  • NPI 1295852051
  NPD (past)
• Professional Counseling Associates, LLC

  • Marriage & Family Therapist
  • Mesa, AZ
  • NPI 1568581031

  Clinical

  NPD (past)
• Rite of Passage Inc

  dba RISE Denver

  • Children's Substance Abuse Rehabilitation Facility
  • Denver, CO
  • NPI 1124614367
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1790921377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E GAIL DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S. ALMA SCHOOL RD",
            "address_2": "STE. 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-730-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "JAMIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendale Pediatrics LLC (GP Family Care Mesa)
• Gleneagle Mental Health Agencies Inc
• Glenn H Brown MD PLLC
• Karissa Glenn
• Kevin Lloyd Glenn, LAC
• Michael Glick, D.M.D
• Ronald M Glick, D.O.
• Kevin S Glidewell
• Glisten Dental Mesa Dba Sunview Dental
• Global Healthcare Solutions LLC (Accucare Home Health Services)

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.