| Stanley Glick, Lcsw, Bcd, P.c. | |
|
412 Executive Dr Langhorne PA 19047-8003 | |
| (215) 321-1435 | |
| (215) 369-8258 |
| Full Name | Stanley Glick, Lcsw, Bcd, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 412 Executive Dr, Langhorne, Pennsylvania |
| Authorized Official Name and Position | Stanley Glick (PRESIDENT) |
| Authorized Official Contact | 2153211435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Glick, Lcsw, Bcd, P.c. 412 Executive Dr Langhorne PA 19047-8003 Ph: (215) 321-1435 | Stanley Glick, Lcsw, Bcd, P.c. 412 Executive Dr Langhorne PA 19047-8003 Ph: (215) 321-1435 |
| NPI Number | 1619010709 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 11/16/2009 |
| Medicare PECOS PAC ID | 0345343349 |
|---|---|
| Medicare Enrollment ID | O20070313000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619010709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW000778L (Pennsylvania) | Primary |
| 1041C0700X | Social Worker - Clinical | 44SC00078900 (New Jersey) | Secondary |
| Provider Name | Stanley Glick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437133568 PECOS PAC ID: 8729087861 Enrollment ID: I20070313000064 |
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