Douglas Adam Glick in Traverse City - Clinical
Douglas Adam Glick - NPI 1770662496
Douglas Adam Glick is a Clinical in Traverse City, Michigan. Douglas Adam Glick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Douglas Adam Glick is 1770662496. The last update date is 2020-11-04.
Douglas Adam Glick's current location address is 310 W Front St Ste 405, Traverse City, Michigan. You can contact this provider via phone number 2315189258 and fax number 2312162793. The mailing address for Douglas Adam Glick is 310 W Front St Ste 405, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Adam Glick |
|---|---|
| Address | 310 W Front St Ste 405, Traverse City, Michigan |
| Phone Number | 2315189258 |
| Fax Number | 2312162793 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1770662496 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 310 W Front St Ste 405 |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496842279 |
| Phone Number | 2315189258 |
| Fax Number | 2312162793 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904006368 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C05700 | VA | GROUP PTAN | |
| 10326435 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Adam Glick by the Centers for Medicare & Medicaid Services?
The Douglas Adam Glick has been assigned the NPI (National Provider Identifier) 1770662496. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Douglas Adam Glick's physical address?
The Douglas Adam Glick is physically located at 310 W Front St Ste 405, in the city of Traverse City, MI, with the postal code 496842279.
What is Douglas Adam Glick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas Adam Glick is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Douglas Adam Glick receive its 1770662496?
The Douglas Adam Glick was issued its 1770662496 on 2006-11-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Douglas Adam Glick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Douglas Adam Glick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-11-04.