Active NPIIndividual provider

Mr. Glenn J Beatty, LICSW

Social Worker in Burlington, Vermont

NPI Number1700892114
Practice location
351 North Ave Burlington, Burlington, VT 05401
Fax
802-860-0451
Last updated
July 8, 2007

Glenn Joseph Beatty is a Social Worker based in Burlington, VT. Glenn Joseph Beatty practices in Burlington, VT and has the professional credentials of LICSW. The NPI Number for Glenn Joseph Beatty is 1700892114 and holds a License No. 0890000229 (VT). The current practice location address for Glenn Joseph Beatty is 351 North Ave Burlington, Burlington, VT 05401 and can be reached out via phone at 802-658-6110 and via fax at 802-860-0451.

Provider Profile Details

NPI Number
1700892114
Provider Name
Glenn Joseph Beatty
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
351 North Ave Burlington, Burlington, VT 05401
Phone Number
802-658-6110
Fax Number
802-860-0451
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
351 North Ave Burlington
Burlington, VT 05401
State
Vermont
Zip
05401
Phone Number
802-658-6110
Fax Number
802-860-0451
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
351 North Ave
Burlington, VT 05401
City
Burlington
State
VT
Zip
05401
Phone Number
802-658-6110
Fax Number
802-860-0451

License Information

License Number
0890000229
License State
VT
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Glenn J Beatty, LICSW?

The NPI number of Mr. Glenn J Beatty, LICSW is 1700892114. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Glenn J Beatty, LICSW?

Mr. Glenn J Beatty, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in VT under license number 0890000229.

Where does Mr. Glenn J Beatty, LICSW practice?

The practice location is 351 North Ave Burlington, Burlington, VT 05401. The office can be reached at 802-658-6110 (phone) or 802-860-0451 (fax).

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 1700892114 directly on the NPPES registry website.

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