Individual provider Active NPI

Lorraine Ann Glover, LICSW

  • Mental Health Counselor
  • Bainbridge Island, WA
National Provider Identifier
1982746483
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
020703LH00004322 Issued in WA
Practice address
785 Ericksen Ave NE
Suite 117
Bainbridge Island, WA 98110-1875
Phone
(206) 842-9949
Fax
(206) 780-0824
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 020703LH00004322 WA Primary
Clinical Social Worker 1041C0700X 020704LW00005140 WA

Addresses

Primary practice location

785 Ericksen Ave NE
Suite 117
Bainbridge Island, WA 98110-1875

Mailing address

785 Ericksen Ave NE
Suite 117
Bainbridge Island, WA 98110-1875
Phone (206) 842-9949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
020703LH00004322WAMDMental Health Counselor
020704LW00005140WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Agate Passage Psychological Services, Inc. PS Past Accepting new patients

Organizations & group practices 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982746483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 ERICKSEN AVE NE",
            "address_2": "SUITE 117",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101875",
            "telephone_number": "206-842-9949",
            "fax_number": "206-780-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 ERICKSEN AVE NE",
            "address_2": "SUITE 117",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101875",
            "telephone_number": "206-842-9949",
            "fax_number": "206-780-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "LORRAINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "020703LH00004322",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "020704LW00005140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.