Active NPIIndividual provider

Mr. Glenn E Degere, MSW, LICSW

Social Worker, Clinical in Hanscom Afb, Massachusetts

NPI Number1972860187
Practice location
90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104
Fax
781-225-2568
Last updated
March 17, 2018

Glenn Emery Degere is a Social Worker, Clinical based in Hanscom Afb, MA. Glenn Emery Degere practices in Hanscom Afb, MA and has the professional credentials of MSW, LICSW. The NPI Number for Glenn Emery Degere is 1972860187 and holds a License No. 115439 (MA). The current practice location address for Glenn Emery Degere is 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104 and can be reached out via phone at 781-225-6789 and via fax at 781-225-2568.

Provider Profile Details

NPI Number
1972860187
Provider Name
Glenn Emery Degere
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Male
Address
90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104
Phone Number
781-225-6789
Fax Number
781-225-2568
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2012
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Vandenberg Dr Bldg 1900
Hanscom Afb, MA 01731-2104
Zip
01731-2104
Phone Number
781-225-6789
Fax Number
781-225-2568
Hanscom Afb, MA 01731Get directions →

Provider Business Mailing Address Details

Address
25 Essex St
Athol, MA 01331-2207
City
Athol
State
MA
Zip
01331-2207
Phone Number
781-698-8321

License Information

License Number
115439
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 E Degere, MSW, LICSW?

The NPI number of Mr. Glenn E Degere, MSW, LICSW is 1972860187. It was assigned on April 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Glenn E Degere, MSW, LICSW?

Mr. Glenn E Degere, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115439.

Where does Mr. Glenn E Degere, MSW, LICSW practice?

The practice location is 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104. The office can be reached at 781-225-6789 (phone) or 781-225-2568 (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 1972860187 directly on the NPPES registry website.

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