Individual provider Active NPI

Megan Elyse Glassberg, LICSW

  • Clinical Social Worker
  • Danvers, MA
National Provider Identifier
1982170247
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW128301 Issued in MA
Practice address
75 Sylvan St
Danvers, MA 01923-2763
Phone
(978) 212-1010
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Clinical Social Worker 1041C0700X LICSW128301 MA Primary

Addresses

Primary practice location

75 Sylvan St
Danvers, MA 01923-2763

Mailing address

75 Sylvan St
Danvers, MA 01923-2763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624003460 MA Practitioner - Clinical Social Worker 9739691817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW128301MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Essex Root and Rise LLC Current Accepting new patients
Eliot Community Human Services CurrentSince Jun 1, 2025 Accepting new patients
Eliot Community Human Services Current Accepting new patients

Locations

86 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 202-4156

75 Sylvan St
Danvers, MA 01923
Phone (978) 212-1010

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1982170247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232763",
            "telephone_number": "978-212-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSBERG",
        "first_name": "MEGAN",
        "middle_name": "ELYSE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW128301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.