Provider Demographics
NPI:1326191933
Name:GLASSER, IRA KENNETH (LCSW; LICSW)
Entity Type:Individual
Prefix:MR
First Name:IRA
Middle Name:KENNETH
Last Name:GLASSER
Suffix:
Gender:M
Credentials:LCSW; LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SYDNEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3395
Mailing Address - Country:US
Mailing Address - Phone:707-676-3133
Mailing Address - Fax:
Practice Address - Street 1:35 SYDNEY DRIVE
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3395
Practice Address - Country:US
Practice Address - Phone:707-676-3133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA257411041C0700X
VT089.01344741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical