Pamela M. Glass, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105611 Issued in MA

Practice address

36 Weston Ave
Quincy, MA 02170-1833

Phone

(617) 786-0137

Fax

(617) 479-4798

NPI assigned

Oct 11, 2006

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902995954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BIRD ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024924358",
            "telephone_number": "781-449-7940",
            "fax_number": "781-449-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WESTON AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701833",
            "telephone_number": "617-786-0137",
            "fax_number": "617-479-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "PAMELA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Gill
• Ellen Elyse Gillander, PSY.D
• Carolyn Gillis, LICSW
• Katarzyna Anna Ginter, LMT
• Sharon Giordani, N.P.
• Joshua Isaac Glidden
• Michelle Glidden, LMHC, MT-BC
• Jennifer Lynn Gloddy, RN
• Donna M Glynn, ANP
• Stana Muskin Gnatovich, LMFT

• Clinical Social Worker in Quincy, MA
• Providers in Quincy, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.