Glenn Paige, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16078 Issued in MD

Legal business name

GLENN PAIGE, LCSW-C

Practice address

9212 Tabard PL
Frederick, MD 21704-7381

Phone

(703) 244-4925

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Glenn Paige, LCSW-C

Title

Therapist

Phone

(703) 244-4925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1922483767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 TABARD PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047381",
            "telephone_number": "703-244-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 TABARD PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047381",
            "telephone_number": "703-244-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN PAIGE, LCSW-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "703-244-4925",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Frederick, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.