Jillian Glazer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1005 W 9TH Ave
King of Prussia, PA 19406-1202

Phone

(484) 685-0965

NPI assigned

Oct 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Bloomgarden & Associates

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1184800849
  NPD (past)

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1811596455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 E PASSYUNK AVE APT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476385",
            "telephone_number": "215-206-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W 9TH AVE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061202",
            "telephone_number": "484-685-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "JILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021390",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Gillespie
• Thomas J. Gillon, MD
• Jennifer Gittleman, DO
• Danielle Giuliano, CRNP, PMHNP
• GK Optics
• Rebecca Glendening
• P. Michael Glowacki, M.D.
• Richard Glunk, M.D.
• Olivia Ann Goettner
• Lynnijah E Golback

• Clinical Social Worker in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; 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.