Tanner L Glen, LICSW
Social Worker, Clinical in Brookline, Massachusetts
1154140150- Practice location
- 1180 Beacon St Ste 4C, Brookline, MA 02446-3806
- Phone
- 413-273-6474
- Fax
- —
- Last updated
- November 24, 2025
Tanner Lee Glen is a Social Worker, Clinical based in Brookline, MA. Tanner Lee Glen practices in Brookline, MA and has the professional credentials of LICSW. The NPI Number for Tanner Lee Glen is 1154140150 and holds a License No. 228559 (MA). The current practice location address for Tanner Lee Glen is 1180 Beacon St Ste 4C, Brookline, MA 02446-3806 and can be reached out via phone at 413-273-6474.
Provider Profile Details
- NPI Number
- 1154140150
- Provider Name
- Tanner Lee Glen
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1180 Beacon St Ste 4C, Brookline, MA 02446-3806
- Phone Number
- 413-273-6474
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 7, 2024
- Last Update Date
- November 24, 2025
- Certification Date
- November 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1180 Beacon St Ste 4C
Brookline, MA 02446-3806 - City
- Brookline
- State
- Massachusetts
- Zip
- 02446-3806
- Phone Number
- 413-273-6474
Provider Business Mailing Address Details
- Address
- 159 Summer St Apt 44
Amherst, MA 01002-1140 - City
- Amherst
- State
- MA
- Zip
- 01002-1140
- Phone Number
- 520-371-0680
License Information
- License Number
- 228559
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Brookline, MA
View all Social Worker, Clinical providers in Brookline →Frequently Asked Questions
What is the NPI number of Tanner L Glen, LICSW?
The NPI number of Tanner L Glen, LICSW is 1154140150. It was assigned on October 7, 2024 and is currently active in the NPPES registry.
What is the specialty of Tanner L Glen, LICSW?
Tanner L Glen, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 228559.
Where does Tanner L Glen, LICSW practice?
The practice location is 1180 Beacon St Ste 4C, Brookline, MA 02446-3806. The office can be reached at 413-273-6474 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154140150 directly on the NPPES registry website.